NPIMap

Organization Active NPI

Wichita Physical Therapy Group, LLC

Doing business as Wichita Physical Therapy Group

  • Durable Medical Equipment & Medical Supplies
  • Wichita, KS
National Provider Identifier
1053193631
Registry record updated Oct 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
WICHITA PHYSICAL THERAPY GROUP, LLC
Doing business as
Wichita Physical Therapy Group
Practice address
2146 N Collective LN Ste 114
Wichita, KS 67206-3574
Phone
(316) 358-9942
Fax
(316) 358-0458
NPI assigned
Oct 18, 2023
Last updated
Oct 18, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2023

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

Authorized official

Name
Jennifer Jones
Title
Patient Services
Phone
(316) 358-9942

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary

Addresses

Primary practice location

2146 N Collective LN Ste 114
Wichita, KS 67206-3574

Mailing address

2146 N Collective LN Ste 114
Wichita, KS 67206-3574
Phone (316) 358-9942

Other names 1

  • Wichita Physical Therapy Group Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Wichita Physical Therapy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2146 N Collective Ln
Ste 114
Wichita, KS 67206
Phone (316) 259-6494

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1697587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697587200000",
    "number": "1053193631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2146 N COLLECTIVE LN STE 114",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672063574",
            "telephone_number": "316-358-9942",
            "fax_number": "316-358-0458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2146 N COLLECTIVE LN STE 114",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672063574",
            "telephone_number": "316-358-9942",
            "fax_number": "316-358-0458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WICHITA PHYSICAL THERAPY GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-18",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "PATIENT SERVICES",
        "authorized_official_telephone_number": "316-358-9942"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wichita Physical Therapy Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 18, 2023; 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.