Cora Jean Underwood, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

18-01000 Issued in KS

Practice address

622 N Edgemoor St
Wichita, KS 67208-3602

Phone

(316) 686-5100

NPI assigned

Nov 16, 2017

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 16, 2017.

{
    "created_epoch": "1510790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510790400000",
    "number": "1982117610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1743 S LARK CT",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672094400",
            "telephone_number": "316-204-2424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 N EDGEMOOR ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672083602",
            "telephone_number": "316-686-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UNDERWOOD",
        "first_name": "CORA",
        "middle_name": "JEAN",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-16",
        "last_updated": "2017-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "KS",
            "license": "18-01000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Umberger, RN
• Joy M Umholtz, BSPHARM
• Umlc LLC
• Unbound Mind and Wellness LLC
• Kristina Marie Underhill, DPT
• Mackenzie Underwood, ATC
• Natalie R Ungles, APRN
• Unified Care Homes, Inc.
• Unified School District 259
• Unimed II, Inc.

• All providers in Wichita, KS
• Occupational Therapy Assistant in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2017; 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.