Individual provider Active NPI

Gwen Pritchard, OT

  • Occupational Therapist
  • Kiowa, KS
National Provider Identifier
1700498581
Registry record updated Nov 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
1701877 Issued in KS
Practice address
1020 Main St
Kiowa, KS 67070-1421
Phone
(620) 845-4117
NPI assigned
Aug 21, 2020
Last updated
Nov 20, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2024

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 1701877 KS Primary

Addresses

Primary practice location

1020 Main St
Kiowa, KS 67070-1421

Mailing address

13241 SW 80 St
Nashville, KS 67112-8316
Phone (620) 914-1200

Other practice location 1

485 N Ks Hwy 2
Anthony, KS 67003-2526
Phone (620) 914-1200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040827000591 KS Practitioner - Occupational Therapist in Private Practice 4183699796 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Therapy Essentials, LLCGroup PAC ID 8729512439, 2 clinicians

Practice addresses (Care Compare)

1020 Main St
Kiowa, KS 67070-1421
Phone (620) 845-4117

212 N 5TH Ave
Anthony, KS 67003-2106
Phone (620) 842-5187

302 N Botkin St
Attica, KS 67009-9032
Phone (620) 254-7253

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1701877KSMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital District No 6 of Harper County Kansas Current Accepting new patients
Therapy Essentials, LLC Occupational Therapist CurrentSince Oct 21, 2024 Accepting new patients
Key Rehabilitation, Inc Past Accepting new patients

Locations

212 N 5th Ave
Anthony, KS 67003
Phone (620) 491-0525

485 N KS Hwy 2
Anthony, KS 67003
Phone (620) 914-1200

302 N Botkin St
Attica, KS 67009
Phone (620) 254-7253

1020 Main St
Kiowa, KS 67070
Phone (620) 491-0525

Organizations & group practices 3

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": "1597968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732060800000",
    "number": "1700498581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13241 SW 80 ST",
            "city": "NASHVILLE",
            "state": "KS",
            "postal_code": "671128316",
            "telephone_number": "620-914-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 MAIN ST",
            "city": "KIOWA",
            "state": "KS",
            "postal_code": "670701421",
            "telephone_number": "620-845-4117"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "485 N Ks Hwy 2",
            "address_purpose": "LOCATION",
            "city": "Anthony",
            "state": "KS",
            "postal_code": "670032526",
            "country_code": "US",
            "telephone_number": "620-914-1200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRITCHARD",
        "first_name": "GWEN",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-21",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "KS",
            "license": "1701877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kiowa, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.