Reine Nola, D.P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1104627 Issued in KS

Practice address

804 S Oliver Ave
Wichita, KS 67218-2329

Phone

(316) 779-4110

Fax

(316) 330-7019

NPI assigned

Jan 20, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Osteopractic Physical Therapy Clinic of Wichita LLC

  • Orthopedic Physical Therapist
  • Wichita, KS
  • NPI 1396493102
  Medicare reassignment NPD Authorized official
• Bon Nola, M.D. , LLC

  • Internal Medicine Physician
  • Wichita, KS
  • NPI 1275715534
  NPD (past)

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

{
    "created_epoch": "1390176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702252800000",
    "number": "1053733436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 N CYPRESS DR",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672062501",
            "telephone_number": "316-304-1924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 S OLIVER AVE",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672182329",
            "telephone_number": "316-779-4110",
            "fax_number": "316-330-7019"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1431 S Bluffview Dr",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672183010",
            "country_code": "US",
            "telephone_number": "316-689-6004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NOLA",
        "first_name": "REINE",
        "credential": "D.P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-01-20",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "1104627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Xinye Monica Noh, DDS
• Alisa Nola, O.D.
• Bounsavath Nola, MD
• Edward Nola, MD
• Linda Walim Nola, PHARMD
• Sonny Nola
• Brenna Nolan, DPT
• Tierra Nolan
• Richard Nold, MSN, RN
• Ronald Joseph Nold Jr., MD

• Physical Therapist in Wichita, KS
• Providers in Wichita, KS by specialty
• Physical Therapist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2023; 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.