Individual provider Active NPI

Andrea M Rhodes, OT

  • Occupational Therapist
  • Derby, KS
National Provider Identifier
1831610047
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
17-03297 Issued in KS
Practice address
1410 N Woodlawn Blvd Ste D
Derby, KS 67037-2953
Phone
(316) 202-0970
Fax
(316) 202-0971
NPI assigned
Jun 28, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 17-03297 KS Primary

Addresses

Primary practice location

1410 N Woodlawn Blvd Ste D
Derby, KS 67037-2953

Mailing address

200 W Douglas Ave Ste 1040
Wichita, KS 67202-3017
Phone (316) 263-0003

Other practice location 1

560 N Exposition St
Wichita, KS 67203-5902
Phone (316) 618-1252

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190904001378 KS Practitioner - Occupational Therapist in Private Practice 0941539761 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced PT LLCGroup PAC ID 3678524709, 84 clinicians

Practice addresses (Care Compare)

3730 N Ridge Rd
Suite 500
Wichita, KS 67205-1233
Phone (316) 440-4901

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
17-03297KSMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced PT LLC CurrentSince Aug 15, 2019 Accepting new patients
Advanced PT LLC CurrentSince Aug 15, 2019 Accepting new patients
Advanced PT, LLC PastSince Aug 23, 2019 Accepting new patients

Locations

1410 N Woodlawn Blvd
Ste D
Derby, KS 67037
Phone (316) 202-0970

2803 N Lorraine St
Ste F
Hutchinson, KS 67502
Phone (620) 662-3111

400 W 4th St
McPherson, KS 67460
Phone (620) 241-4201

315 W Washington Ave
Sterling, KS 67579
Phone (620) 204-6116

200 W Douglas Ave
Ste 1040
Wichita, KS 67202
Phone (866) 412-5554

3730 N Ridge Rd
Ste 500
Wichita, KS 67205
Phone (316) 440-4901

3460 N Ridge Rd
Ste 80
Wichita, KS 67205
Phone (316) 202-0340

6940 W Newell St
Wichita, KS 67212
Phone (316) 440-3731

4515 E Central Ave
Ste A
Wichita, KS 67208
Phone (316) 260-6869

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1498608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1831610047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W DOUGLAS AVE STE 1040",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672023017",
            "telephone_number": "316-263-0003",
            "fax_number": "316-263-1241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 N WOODLAWN BLVD STE D",
            "city": "DERBY",
            "state": "KS",
            "postal_code": "670372953",
            "telephone_number": "316-202-0970",
            "fax_number": "316-202-0971"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "560 N Exposition St",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672035902",
            "country_code": "US",
            "telephone_number": "316-618-1252",
            "fax_number": "316-869-2277",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RHODES",
        "first_name": "ANDREA",
        "middle_name": "M",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-28",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "KS",
            "license": "17-03297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Derby, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.