Individual provider Active NPI

Brianne Michelle Hobson, DPT

  • Physical Therapist
  • Wichita, KS
National Provider Identifier
1053837591
Registry record updated May 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11-05471 Issued in KS
Practice address
1725 E Douglas Ave Ste 103
Wichita, KS 67211-1654
Phone
(316) 202-0987
Fax
(316) 202-0988
NPI assigned
Aug 16, 2017
Last updated
May 19, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 11-05471 KS
Physical Therapist 225100000X 11-05471 KS Primary

Addresses

Primary practice location

1725 E Douglas Ave Ste 103
Wichita, KS 67211-1654

Mailing address

1725 E Douglas Ave Ste 103
Wichita, KS 67211-1654
Phone (316) 202-0987

Other practice location 1

1818 E 23rd Ave
Hutchinson, KS 67502-1106
Phone (620) 662-6000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200521001409 KS Practitioner - Physical Therapist in Private Practice 9436570728 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
Phoenix Physical Therapy LLCGroup PAC ID 3779914544, 50 clinicians

Practice addresses (Care Compare)

12627 E Central Ave
Suite 308
Wichita, KS 67206-2839
Phone (316) 260-3311

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11-05471KSMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Phoenix Physical Therapy LLC CurrentSince Mar 28, 2022 Accepting new patients
Advanced PT, LLC PastSince Jun 1, 2020 Accepting new patients

Locations

12627 E Central Ave
Wichita, KS 67206

12627 E Central Ave
Ste 308
Wichita, KS 67206

3223 N Webb Rd
Ste 2
Wichita, KS 67226
Phone (316) 609-3040

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1502841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589846400000",
    "number": "1053837591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1725 E DOUGLAS AVE STE 103",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672111654",
            "telephone_number": "316-202-0987",
            "fax_number": "316-202-0988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 E DOUGLAS AVE STE 103",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672111654",
            "telephone_number": "316-202-0987",
            "fax_number": "316-202-0988"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1818 E 23rd Ave",
            "address_purpose": "LOCATION",
            "city": "Hutchinson",
            "state": "KS",
            "postal_code": "675021106",
            "country_code": "US",
            "telephone_number": "620-662-6000",
            "fax_number": "620-662-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOBSON",
        "first_name": "BRIANNE",
        "middle_name": "MICHELLE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-16",
        "last_updated": "2020-05-19",
        "certification_date": "2020-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "KS",
            "license": "11-05471",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "11-05471",
            "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 May 19, 2020; 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.