Active NPI
Howard Christopher Deck, P.T.
- Physical Therapist
- Wichita, KS
National Provider Identifier
1083678106
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11-03608
- Practice address
- 3737 W Central Ave
Wichita, KS 67203-4925 - Phone
- (316) 448-0553
- Fax
- (316) 221-2528
- NPI assigned
- Apr 14, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT-1092 | WY | |
| Physical Therapist | 225100000X | 11-03608 | KS | Primary |
Addresses
Primary practice location
3737 W Central Ave
Wichita, KS 67203-4925
Mailing address
10014 W Haskell CT
Wichita, KS 67209-3006
Phone (316) 448-0553
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 120241300 | Medicaid | WY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS, AK
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
157 Lewis St
North Pole, AK 99705-7699
Phone (907) 488-4978
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT-1092 | WY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| United Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| North Pole Physical Therapy, Inc | Current | Accepting new patients | |
| Lifequest Counseling Solutions LLC | Past | Accepting new patients |
Locations
206 E Northern Lights Blvd
Ste 1
Anchorage, AK 99503
Phone (907) 561-2260
742 K St
Anchorage, AK 99501
Phone (907) 929-8400
157 Lewis St
North Pole, AK 99705
Phone (907) 488-4978
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Orthopedic Physical Therapist
- North Pole, AK
- NPI 1639238694
-
- Physical Therapist
- Anchorage, AK
- NPI 1609888130
-
- Clinical Social Worker
- Wichita, KS
- NPI 1235963091
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1461715200000",
"number": "1083678106",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10014 W HASKELL CT",
"city": "WICHITA",
"state": "KS",
"postal_code": "672093006",
"telephone_number": "316-448-0553",
"fax_number": "316-221-2528"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3737 W CENTRAL AVE",
"city": "WICHITA",
"state": "KS",
"postal_code": "672034925",
"telephone_number": "316-448-0553",
"fax_number": "316-221-2528"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DECK",
"first_name": "HOWARD",
"middle_name": "CHRISTOPHER",
"name_prefix": "Mr.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-14",
"last_updated": "2016-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WY",
"license": "PT-1092",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KS",
"license": "11-03608",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "120241300",
"state": "WY"
}
],
"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 Apr 27, 2016; 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.