Active NPI
Regent Park Rehabilitation and Healthcare
- Skilled Nursing Facility
- Wichita, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 17-02419
- Legal business name
- REGENT PARK REHABILITATION AND HEALTHCARE
- Practice address
- 10604 E 13TH St N
Wichita, KS 67206-3706 - Phone
- (316) 337-5450
- Fax
- (316) 558-5259
- NPI assigned
- Nov 29, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Heather M. Berry, OTR/L
- Title
- Director of Rehabilitation
- Phone
- (316) 337-5450
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 17-02419 | KS | Primary |
Addresses
Primary practice location
10604 E 13TH St N
Wichita, KS 67206-3706
Mailing address
13408 E Tallowood Dr
Wichita, KS 67230-1766
Phone (316) 616-4924
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 17-02419 | Other | KS | OT LICIENSE |
National Provider Directory
National Provider Directory- Tax ID family
- Ict 13 SNF LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Regent Park Rehabilitation and Healthcare
- Skilled Nursing Facility
- Wichita, KS
- NPI 1154696144
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Occupational Therapist
- Wichita, KS
- NPI 1558806968
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1480377600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1480377600000",
"number": "1992248629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13408 E TALLOWOOD DR",
"city": "WICHITA",
"state": "KS",
"postal_code": "672301766",
"telephone_number": "316-616-4924",
"fax_number": "316-558-5259"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10604 E 13TH ST N",
"city": "WICHITA",
"state": "KS",
"postal_code": "672063706",
"telephone_number": "316-337-5450",
"fax_number": "316-558-5259"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REGENT PARK REHABILITATION AND HEALTHCARE",
"organizational_subpart": "NO",
"enumeration_date": "2016-11-29",
"last_updated": "2016-11-29",
"status": "A",
"authorized_official_last_name": "BERRY",
"authorized_official_first_name": "HEATHER",
"authorized_official_middle_name": "M.",
"authorized_official_title_or_position": "DIRECTOR OF REHABILITATION",
"authorized_official_telephone_number": "316-337-5450",
"authorized_official_credential": "OTR/L"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "KS",
"license": "17-02419",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OT LICIENSE",
"identifier": "17-02419",
"state": "KS"
}
],
"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 Nov 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.