Brent Shugart
Individual provider Active NPI Physical Therapy Assistant · Hillsboro, KS
NPI 1023567682 · NPPES record last updated Sep 23, 2016
Key facts
- NPI
- 1023567682
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 14-03062 (KS)
- Practice address
- 200 Willow Rd
Hillsboro, KS 67063-1939 - Phone
- (620) 947-2301
- NPI assigned
- Sep 23, 2016
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14-03062 | KS | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 14-03062 | KS | Yes |
Addresses
Primary practice location
200 Willow Rd
Hillsboro, KS 67063-1939
Mailing address
615 S Hickory St
McPherson, KS 67460-5252
Phone (620) 242-6707
Other providers in Hillsboro, KS
- Salem Hospital, Inc.
- Salem Hospital, Inc.
- Salem Hospital, Inc.
- Melinda S Schmidt
- Isabel Del Carmen Scott
- Dan Sigley
- Joshua L. Smith
- Shanae Ann Strate
- Sunflower Smiles PA
- Tabor College
All providers in Hillsboro, KS · Physical Therapy Assistant in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 23, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.