Bird Physical Therapy PA
Organization Active NPI Physical Therapist · Lawrence, KS
NPI 1013914944 · NPPES record last updated Aug 4, 2008
Key facts
- NPI
- 1013914944
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- Legal business name
- BIRD PHYSICAL THERAPY PA
- Practice address
- 535 Gateway Dr
Lawrence, KS 66049-2342 - Phone
- (785) 331-0106
- NPI assigned
- Jul 7, 2005
- Organization subpart
- No
Authorized official
- Name
- Kevin Bird, MSPT
- Title
- Physical Therapist
- Phone
- (785) 331-0106
Practitioners 10
-
Kevin Bird, P.T.
-
Jessica Lemus, DPT
-
Brett Richard Sabath, D.P.T.
-
Trisha L. Brabender, RPT
-
Ryan Brandt, PT
-
Sarah Hoskinson, P.T.
-
Katherine Renyer, P.T.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050210000375 | KS | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 1951353648 |
Receives reassigned benefits from 3 practitioners Practice locations: Lawrence, KS |
National Provider Directory
Locations
535 Gateway Dr
Lawrence, KS 66049
Phone (785) 331-0106
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | Yes |
Addresses
Primary practice location
535 Gateway Dr
Lawrence, KS 66049-2342
Mailing address
535 Gateway Dr
Lawrence, KS 66049-2342
Phone (785) 331-0106
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100316840-B | Medicaid | KS |
Other providers in Lawrence, KS
- Martha Biggar
- Jacob Manfred Bigus
- Jennifer Bihlmaier
- Matthew Bihlmaier
- Brienne Nicole Billings
- Aubrie R Bird
- Hadley Bird
- Kevin Bird
- Madeline Grace Birdashaw
- Carol Marie Birt
All providers in Lawrence, KS · Physical Therapist in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 4, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.