Shawna Wendt, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

17-01783 Issued in KS

Practice address

3500 N Rock Rd Ste 101
Wichita, KS 67226-1341

Phone

(316) 440-3316

NPI assigned

Sep 30, 2009

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Sprout Pediatric Occupational Therapy, LLC

  • Occupational Therapist
  • Wichita, KS
  • NPI 1588098412
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1254268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522368000000",
    "number": "1982938403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13818 E CAMDEN CHASE CT",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672288040",
            "telephone_number": "316-641-6716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 N ROCK RD STE 101",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672261341",
            "telephone_number": "316-440-3316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENDT",
        "first_name": "SHAWNA",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-30",
        "last_updated": "2018-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "KS",
            "license": "17-01783",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "KS",
            "license": "17-01783",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200862670",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Linda D Welty, ARNP
• Chih-Chen Wen
• Mark L Wencel, MD
• Taci Jo Wendler
• Gina M Wendt-Blasing, LCMFT
• Wendy D. Reynolds, D.D.S.
• Joel Weninger, APRN
• Callie Jo Wentling, PA-C
• Bethel Wentz, CRNA
• David Wentz, CRNA

• Occupational Therapist in Wichita, KS
• Providers in Wichita, KS by specialty
• Occupational Therapist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2018; 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.