Healthcare Provider Details

I. General information

NPI: 1528711405
Provider Name (Legal Business Name): JOSEPH THOMAS ANYASI OTR
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/31/2022
Last Update Date: 02/02/2022
Certification Date: 02/02/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8338 W 13TH ST N
WICHITA KS
67212-2900
US

IV. Provider business mailing address

1725 N CLARENCE AVE
WICHITA KS
67203-1525
US

V. Phone/Fax

Practice location:
  • Phone: 316-729-9999
  • Fax:
Mailing address:
  • Phone: 620-506-7346
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225XG0600X
TaxonomyGerontology Occupational Therapist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code225XG0600X
TaxonomyGerontology Occupational Therapist
License Number17-1528
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: