NPIMap

Organization Active NPI

Advanced Therapy & Sports Medicine, Chartered

  • Physical Therapy Clinic/Center
  • Great Bend, KS
National Provider Identifier
1013948975
Registry record updated Mar 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
261QP2000X Issued in KS
Legal business name
ADVANCED THERAPY & SPORTS MEDICINE, CHARTERED
Practice address
4801 10TH St
Great Bend, KS 67530-3252
Phone
(620) 792-7868
NPI assigned
Jul 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2017

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

Authorized official

Name
Teresa Malone, PTNPI 1992733133
Title
President
Phone
(620) 792-7868

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)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 261QP2000X KS Primary

Addresses

Primary practice location

4801 10TH St
Great Bend, KS 67530-3252

Mailing address

4801 10TH St
Great Bend, KS 67530-3542
Phone (620) 792-7868

Other identifiers 1

IdentifierTypeStateIssuer
200508610AMedicaidKS

Other names 1

  • Advanced Therapy & Sports Medicine,Chartered Doing business as

National Provider Directory

National Provider Directory

Locations

1514 State Road 96
#B
Great Bend, KS 67530
Phone (620) 792-7868

1514 K 96 Hwy
Ste B
Great Bend, KS 67530
Phone (620) 792-7868

2209 Canterbury Dr
Ste A
Hays, KS 67601

2209 Canterbury Dr
Hays, KS 67601
Phone (785) 621-4570

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489017600000",
    "number": "1013948975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 10TH ST",
            "city": "GREAT BEND",
            "state": "KS",
            "postal_code": "675303542",
            "telephone_number": "620-792-7868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 10TH ST",
            "city": "GREAT BEND",
            "state": "KS",
            "postal_code": "675303252",
            "telephone_number": "620-792-7868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED THERAPY & SPORTS MEDICINE, CHARTERED",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2017-03-09",
        "status": "A",
        "authorized_official_last_name": "MALONE",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "620-792-7868",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "KS",
            "license": "261QP2000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200508610A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Therapy & Sports Medicine,Chartered",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Great Bend, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2017; 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.