Active NPI
Celeste M Gawanda
- Occupational Therapy Assistant
- Wichita, KS
National Provider Identifier
1821450867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- T-04450
- Practice address
- 3500 N Rock Rd
Buidling 2200, Suite 101
Wichita, KS 67226-1341 - Phone
- (316) 440-3316
- Fax
- (888) 965-6885
- NPI assigned
- Mar 28, 2016
- Last updated
- May 14, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | T-04450 | KS | Primary |
Addresses
Primary practice location
3500 N Rock Rd
Buidling 2200, Suite 101
Wichita, KS 67226-1341
Mailing address
11623 Arbor St
Omaha, NE 68144-2981
Other names 1
- Celeste M Burger
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 |
|---|---|---|---|
| T-04450 | KS | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sprout Pediatric Occupational Therapy, LLC | 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.
-
- Occupational Therapist
- Wichita, KS
- NPI 1588098412
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557792000000",
"number": "1821450867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11623 ARBOR ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681442981"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3500 N ROCK RD",
"address_2": "BUIDLING 2200, SUITE 101",
"city": "WICHITA",
"state": "KS",
"postal_code": "672261341",
"telephone_number": "316-440-3316",
"fax_number": "888-965-6885"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAWANDA",
"first_name": "CELESTE",
"middle_name": "M",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-03-28",
"last_updated": "2019-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "KS",
"license": "T-04450",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CELESTE",
"last_name": "BURGER",
"middle_name": "M",
"credential": "COTA",
"code": "1",
"type": "Former Name"
}
]
}
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 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.