Michael Leroy Vinyard

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

14-02082 Issued in KS

Practice address

930 Ames Street
Baldwin City, KS 66006

Phone

(785) 594-4100

Fax

(785) 594-2600

NPI assigned

Sep 13, 2010

Last updated

Sep 13, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Neu Physical Therapy Inc

  • Physical Therapist
  • Baldwin City, KS
  • NPI 1447233838
  NPD (past)
• Neu Physical Therapy Inc

  • Physical Therapist
  • Lawrence, KS
  • NPI 1942283320
  NPD (past)

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

{
    "created_epoch": "1284336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284336000000",
    "number": "1013224039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 WAKARUSA DRIVE",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "66049",
            "telephone_number": "785-842-3444",
            "fax_number": "785-842-3410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 AMES STREET",
            "city": "BALDWIN CITY",
            "state": "KS",
            "postal_code": "66006",
            "telephone_number": "785-594-4100",
            "fax_number": "785-594-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINYARD",
        "first_name": "MICHAEL",
        "middle_name": "LEROY",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-13",
        "last_updated": "2010-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "KS",
            "license": "14-02082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda F Smith
• Gary Stevanus, ATC
• Sara Strand
• James Lewis Sturgis, M.D.
• Vintage Park at Baldwin LLC
• Holly Michelle Watson, MA, CCC-SLP
• Andrea Williams, PHARMD
• Willow Emotional & Relational Health, LLC
• Sandy Marie Wood
• Lisa Marie Yoder

• Physical Therapy Assistant in Baldwin City, KS
• Providers in Baldwin City, KS by specialty
• Physical Therapy Assistant in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2010; 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.