Individual provider Active NPI

Lucas Schippers, DPT

  • Physical Therapist
  • Wichita, KS
National Provider Identifier
1043660152
Registry record updated Dec 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
082880 Issued in IA
Practice address
7335 W 33Rd St N
Wichita, KS 67205-9368
Phone
(316) 866-7067
Fax
(844) 788-4005
NPI assigned
Jun 20, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 082880 IA Primary

Addresses

Primary practice location

7335 W 33Rd St N
Wichita, KS 67205-9368

Mailing address

2401 Towncrest Dr
Iowa City, IA 52240-6631
Phone (319) 354-2429

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220511001537 KS Practitioner - Physical Therapist in Private Practice 7012394141 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brigham Physical Therapy LLC 5 clinicians

Practice addresses (Care Compare)

1443 N Ridge Rd
Wichita, KS 67212-2995

7335 W 33Rd St N
Wichita, KS 67205-9368
Phone (316) 866-7067

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
082880IAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Brigham Physical Therapy LLC Physical Therapist CurrentSince Jul 1, 2022 Accepting new patients
Progressive Rehab Chiropractic, L.L.C. Past Accepting new patients
Progressive Rehabilitation Associates L.L.C. Physical Therapist PastSince Jan 1, 2025 Accepting new patients

Locations

7335 W 33rd St N
Wichita, KS 67205
Phone (316) 866-7067

1443 N Ridge Rd
Wichita, KS 67212
Phone (316) 227-1767

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1466380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733702400000",
    "number": "1043660152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 TOWNCREST DR",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522406631",
            "telephone_number": "319-354-2429",
            "fax_number": "319-338-5775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7335 W 33RD ST N",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672059368",
            "telephone_number": "316-866-7067",
            "fax_number": "844-788-4005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHIPPERS",
        "first_name": "LUCAS",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-20",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "082880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.