Individual provider Active NPI

David W Kemp, ORT

  • Occupational Therapist
  • Wichita, KS
National Provider Identifier
1679783641
Registry record updated May 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
17-00170 Issued in KS
Practice address
5111 E 21St St N
Wichita, KS 67208-1606
Phone
(316) 688-1888
Fax
(316) 688-5687
NPI assigned
May 22, 2007
Last updated
May 13, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 17-00170 KS Primary

Addresses

Primary practice location

5111 E 21St St N
Wichita, KS 67208-1606

Mailing address

309 Catalpa St
Derby, KS 67037-4203

Other identifiers 1

IdentifierTypeStateIssuer
0013435OtherKSOCCUPATIONAL THERAPIST

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
17-00170KSMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Cerebral Palsy Research Foundation of Kansas, Inc. Occupational Therapist Past Accepting new patients
Cerebral Palsy Research Foundation of Kansas, Inc Occupational Therapist Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399939200000",
    "number": "1679783641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 CATALPA ST",
            "city": "DERBY",
            "state": "KS",
            "postal_code": "670374203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5111 E 21ST ST N",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672081606",
            "telephone_number": "316-688-1888",
            "fax_number": "316-688-5687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEMP",
        "first_name": "DAVID",
        "middle_name": "W",
        "credential": "ORT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-22",
        "last_updated": "2014-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "KS",
            "license": "17-00170",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OCCUPATIONAL THERAPIST",
            "identifier": "0013435",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.