Provider Demographics
NPI:1538050158
Name:DORT, HANNAH OLIVIA (OTD)
Entity type:Individual
Prefix:
First Name:HANNAH
Middle Name:OLIVIA
Last Name:DORT
Suffix:
Gender:F
Credentials:OTD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2988 N PENSTEMON CIR
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67226-1820
Mailing Address - Country:US
Mailing Address - Phone:316-243-7963
Mailing Address - Fax:
Practice Address - Street 1:2988 N PENSTEMON CIR
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67226-1820
Practice Address - Country:US
Practice Address - Phone:316-243-7963
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-11
Last Update Date:2025-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KST-06373225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist