Active NPI
Haley Paige Rust, OT-R
- Occupational Therapist
- Wichita, KS
National Provider Identifier
1740893742
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Practice address
- 8643 W Central Ave
Wichita, KS 67212-3614 - Phone
- (316) 204-1259
- Fax
- (888) 595-0755
- NPI assigned
- Aug 28, 2020
- Last updated
- Oct 3, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | |||
| Occupational Therapist | 225X00000X | Primary |
Addresses
Primary practice location
8643 W Central Ave
Wichita, KS 67212-3614
Mailing address
1055 N 199TH St W
Goddard, KS 67052-9131
Phone (316) 204-1259
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| T-05323 | Other | KS | KANSAS STATE BOARD OF HEALING ARTS |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | https://www.movepediatrictherapy.com/ | Other |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Move Pediatric Therapy, LLC | Pediatrics | Past | Accepting new patients |
Organizations & group practices 1
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": "1598572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664755200000",
"number": "1740893742",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1055 N 199TH ST W",
"city": "GODDARD",
"state": "KS",
"postal_code": "670529131",
"telephone_number": "316-204-1259",
"fax_number": "888-595-0755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8643 W CENTRAL AVE",
"city": "WICHITA",
"state": "KS",
"postal_code": "672123614",
"telephone_number": "316-204-1259",
"fax_number": "888-595-0755"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUST",
"first_name": "HALEY",
"middle_name": "PAIGE",
"credential": "OT-R",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-28",
"last_updated": "2022-10-03",
"certification_date": "2022-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": null,
"license": null,
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KANSAS STATE BOARD OF HEALING ARTS",
"identifier": "T-05323",
"state": "KS"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "https://www.movepediatrictherapy.com/",
"affiliation": "N",
"endpointDescription": "website",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "website",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "website",
"address_1": "8643 W Central Ave",
"city": "Wichita",
"state": "KS",
"country_code": "US",
"postal_code": "672123614",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Oct 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.