Individual provider Active NPI

Dana Rachelle Mathia, OTR

  • Occupational Therapist
  • Wichita, KS
National Provider Identifier
1841324308
Registry record updated Mar 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
17-01076 Issued in KS
Practice address
2778 N Webb Rd
Wichita, KS 67226-8112
Phone
(316) 631-1600
Fax
(316) 631-1617
NPI assigned
Mar 15, 2007
Last updated
Mar 29, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2011

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 17-01076 KS Primary

Addresses

Primary practice location

2778 N Webb Rd
Wichita, KS 67226-8112

Mailing address

2778 N Webb Rd
Wichita, KS 67226-8112
Phone (316) 631-1600

Other identifiers 1

IdentifierTypeStateIssuer
200689870AMedicaidKS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110210000022 KS Practitioner - Occupational Therapist in Private Practice 1557541455 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

9828 E Shannon Woods Cir
Suite 200
Wichita, KS 67226-4100
Phone (316) 274-3540

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
17-01076KSMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ascension Via Christi Rehabilitation Hospital, Inc. CurrentSince Oct 1, 2023 Accepting new patients
Ascension Via Christi Rehabilitation Hospital, Inc. Occupational Therapist CurrentSince Oct 1, 2023 Accepting new patients
Via Christi Rehabilitation Hospital, Inc Past Accepting new patients

Locations

1151 N Rock Rd
Wichita, KS 67206
Phone (316) 634-3400

2778 N Webb Rd
Wichita, KS 67226
Phone (316) 631-1600

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": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301356800000",
    "number": "1841324308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2778 N WEBB RD",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672268112",
            "telephone_number": "316-631-1600",
            "fax_number": "316-631-1617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2778 N WEBB RD",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672268112",
            "telephone_number": "316-631-1600",
            "fax_number": "316-631-1617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHIA",
        "first_name": "DANA",
        "middle_name": "RACHELLE",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-15",
        "last_updated": "2011-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "KS",
            "license": "17-01076",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200689870A",
            "state": "KS"
        }
    ],
    "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 Mar 29, 2011; 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.