Active NPI
Brian Wayne Goates, OTR/L
- Hand Occupational Therapist
- Wichita, KS
National Provider Identifier
1811168396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hand Occupational Therapist
- License
- 941
- Practice address
- 551 N Hillside St
Suite 230
Wichita, KS 67214-4923 - Phone
- (316) 962-2949
- NPI assigned
- Mar 12, 2008
- Last updated
- Jun 22, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hand Occupational Therapist | 225XH1200X | 941 | OK | Primary |
Addresses
Primary practice location
551 N Hillside St
Suite 230
Wichita, KS 67214-4923
Mailing address
8302 W Palmetto Cir
Wichita, KS 67205-5213
Phone (405) 714-5052
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
| License | State | Type | Specialty |
|---|---|---|---|
| 941 | OK | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1308700800000",
"number": "1811168396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8302 W PALMETTO CIR",
"city": "WICHITA",
"state": "KS",
"postal_code": "672055213",
"telephone_number": "405-714-5052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "551 N HILLSIDE ST",
"address_2": "SUITE 230",
"city": "WICHITA",
"state": "KS",
"postal_code": "672144923",
"telephone_number": "316-962-2949"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOATES",
"first_name": "BRIAN",
"middle_name": "WAYNE",
"name_prefix": "Mr.",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-03-12",
"last_updated": "2011-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "225XH1200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Hand",
"state": "OK",
"license": "941",
"primary": true
}
],
"identifiers": [],
"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 Jun 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.