Kelley Renee Ewert, MOTR/L
Individual provider Active NPI Occupational Therapist · Wichita, KS
NPI 1972065217 · NPPES record last updated Apr 4, 2019
Key facts
- NPI
- 1972065217
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 17-03145 (KS)
- Practice address
- 1947 N Founders Cir
Wichita, KS 67206-3548 - Phone
- (316) 613-5380
- NPI assigned
- Apr 4, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Via Christi Rehabilitation Hospital, Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 17-03145 | KS | Yes |
Addresses
Primary practice location
1947 N Founders Cir
Wichita, KS 67206-3548
Mailing address
1234 W 33Rd St N
Wichita, KS 67204-4227
Phone (316) 617-9382
Other providers in Wichita, KS
- Elizabeth Everhart
- Every Child'S Voice, LLC
- Evolution Counseling
- Evolution Wellness Center
- Evolve Diabetes, LLC
- Amanda A Ewertz
- Jeri Lynn Ewertz
- Kristin Diane Ewertz
- Lauren Shelby Ewertz
- Mark Ewertz
All providers in Wichita, KS · Occupational Therapist in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 4, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.