Individual provider Active NPI

Emily Joyce Dreifurst

  • Physical Therapist
  • Wichita, KS
National Provider Identifier
1063073534
Registry record updated Jun 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11-06018 Issued in KS
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

Updated by the provider on Jun 25, 2019

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 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

LicenseStateTypeSpecialty
11-06018KSMDPhysical 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.

Verify at the official NPI Registry.