Active NPI
Logan D Darbyshire, OT
- Occupational Therapist
- Wichita, KS
National Provider Identifier
1891460184
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 17-03866
- Practice address
- 423 N McLean Blvd
Wichita, KS 67203-5964 - Phone
- (316) 618-1252
- Fax
- (316) 869-2277
- NPI assigned
- Aug 10, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 Therapist | 225X00000X | 17-03866 | KS | Primary |
Addresses
Primary practice location
423 N McLean Blvd
Wichita, KS 67203-5964
Mailing address
423 N McLean Blvd
Wichita, KS 67203-5964
Phone (316) 618-1252
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 |
|---|---|---|---|
| 17-03866 | KS | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Theraplay Spot LLC | Occupational Therapist | Past | Accepting new patients |
| Rainbows United, Inc. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Case Management Agency
- Wichita, KS
- NPI 1679671671
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704758400000",
"number": "1891460184",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "423 N MCLEAN BLVD",
"city": "WICHITA",
"state": "KS",
"postal_code": "672035964",
"telephone_number": "316-618-1252",
"fax_number": "316-869-2277"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "423 N MCLEAN BLVD",
"city": "WICHITA",
"state": "KS",
"postal_code": "672035964",
"telephone_number": "316-618-1252",
"fax_number": "316-869-2277"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DARBYSHIRE",
"first_name": "LOGAN",
"middle_name": "D",
"credential": "OT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-08-10",
"last_updated": "2024-01-09",
"certification_date": "2024-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "KS",
"license": "17-03866",
"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 Jan 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.