Active NPI
Madelyn Sara Wiltrout
- Occupational Therapist
- Basehor, KS
National Provider Identifier
1962351437
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 17-04584
- Practice address
- 15630 Pinehurst Dr Ste 1
Basehor, KS 66007-8238 - Phone
- (913) 728-2065
- NPI assigned
- Jan 27, 2026
- 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 Therapist | 225X00000X | 17-04584 | KS | Primary |
Addresses
Primary practice location
15630 Pinehurst Dr Ste 1
Basehor, KS 66007-8238
Mailing address
9507 N Kenwood Ave
Kansas City, MO 64155-3315
Phone (952) 334-0336
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2025
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1335 Strassner Dr
Saint Louis, MO 63144-1872
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17-04584 | KS | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Functional Pediatric Therapy | Occupational Therapist | 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 and National Provider Directory roles.
-
- Occupational Therapist
- Basehor, KS
- NPI 1437611811
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1769472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769472000000",
"number": "1962351437",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9507 N KENWOOD AVE",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641553315",
"telephone_number": "952-334-0336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15630 PINEHURST DR STE 1",
"city": "BASEHOR",
"state": "KS",
"postal_code": "660078238",
"telephone_number": "913-728-2065"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILTROUT",
"first_name": "MADELYN",
"middle_name": "SARA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-01-27",
"last_updated": "2026-01-27",
"certification_date": "2026-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "KS",
"license": "17-04584",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Basehor, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.