Active NPI
Emily Joyce Dreifurst
- Physical Therapist
- Wichita, KS
National Provider Identifier
1063073534
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11-06018
- Practice address
- 929 N St Francis St
Wichita, KS 67214-3821 - Phone
- (316) 268-5000
- NPI assigned
- Jun 25, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 11-06018 | KS | Primary |
Addresses
Primary practice location
929 N St Francis St
Wichita, KS 67214-3821
Mailing address
1103 State St
Augusta, KS 67010-1119
Other practice location 1
901 Lakepoint Dr
Augusta, KS 67010-2423
Phone (316) 775-6333
Other practice location 2
1124 W 21st St
Andover, KS 67002-5500
Phone (316) 300-4000
Other practice location 3
1124 W 21st St
Andover, KS 67002-5500
Phone (316) 300-4000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11-06018 | KS | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561420800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561420800000",
"number": "1063073534",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1103 STATE ST",
"city": "AUGUSTA",
"state": "KS",
"postal_code": "670101119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "929 N ST FRANCIS ST",
"city": "WICHITA",
"state": "KS",
"postal_code": "672143821",
"telephone_number": "316-268-5000"
}
],
"practiceLocations": [
{
"address_1": "901 Lakepoint Dr",
"address_purpose": "LOCATION",
"city": "Augusta",
"state": "KS",
"postal_code": "670102423",
"country_code": "US",
"telephone_number": "316-775-6333",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1124 W 21st St",
"address_purpose": "LOCATION",
"city": "Andover",
"state": "KS",
"postal_code": "670025500",
"country_code": "US",
"telephone_number": "316-300-4000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1124 W 21st St",
"address_purpose": "LOCATION",
"city": "Andover",
"state": "KS",
"postal_code": "670025500",
"country_code": "US",
"telephone_number": "316-300-4000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DREIFURST",
"first_name": "EMILY",
"middle_name": "JOYCE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-25",
"last_updated": "2019-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KS",
"license": "11-06018",
"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 Jun 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.