Individual provider Active NPI

Karen Kay Kendrick, OT

  • Occupational Therapist
  • Wichita, KS
National Provider Identifier
1972595627
Registry record updated Jul 31, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
1702007 Issued in KS
Practice address
610 N Main St
Wichita, KS 67203-3601
Phone
(316) 440-1600
Fax
(316) 267-9034
NPI assigned
Aug 18, 2005
Last updated
Jul 31, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2009

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 1702007 KS Primary

Addresses

Primary practice location

610 N Main St
Wichita, KS 67203-3601

Mailing address

610 N Main St
Wichita, KS 67203-3601
Phone (316) 440-1600

Other names 1

  • Karen Kay Rasmussen Former name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
1702007KSMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Enivision Inc Past Accepting new patients
Envision Vision Rehabilitation Center Inc PastSince Jul 24, 2022 Accepting new patients
Envision Industries Inc Past Accepting new patients

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": "1124323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248998400000",
    "number": "1972595627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 N MAIN ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672033601",
            "telephone_number": "316-440-1600",
            "fax_number": "316-267-9034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 N MAIN ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672033601",
            "telephone_number": "316-440-1600",
            "fax_number": "316-267-9034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENDRICK",
        "first_name": "KAREN",
        "middle_name": "KAY",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-18",
        "last_updated": "2009-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "KS",
            "license": "1702007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAREN",
            "last_name": "RASMUSSEN",
            "middle_name": "KAY",
            "credential": "OT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Jul 31, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.