Active NPI
Amy N Gardner, OTR
- Occupational Therapist
- Wichita, KS
National Provider Identifier
1982833604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 17-02502
- Practice address
- 340 S Broadway St
Wichita, KS 67202-4304 - Phone
- (316) 267-5437
- Fax
- (316) 267-5444
- NPI assigned
- Jul 2, 2009
- 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 | 17-02502 | KS | Primary |
Addresses
Primary practice location
340 S Broadway St
Wichita, KS 67202-4304
Mailing address
340 S Broadway St
Wichita, KS 67202-4304
Phone (316) 267-5437
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 |
|---|---|---|---|
| 17-02502 | KS | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246492800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1246492800000",
"number": "1982833604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "340 S BROADWAY ST",
"city": "WICHITA",
"state": "KS",
"postal_code": "672024304",
"telephone_number": "316-267-5437",
"fax_number": "316-267-5444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "340 S BROADWAY ST",
"city": "WICHITA",
"state": "KS",
"postal_code": "672024304",
"telephone_number": "316-267-5437",
"fax_number": "316-267-5444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARDNER",
"first_name": "AMY",
"middle_name": "N",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-07-02",
"last_updated": "2009-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "KS",
"license": "17-02502",
"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 Jul 2, 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.