Individual provider Active NPI

Howard Christopher Deck, P.T.

  • Physical Therapist
  • Wichita, KS
National Provider Identifier
1083678106
Registry record updated Apr 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11-03608 Issued in KS
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

Updated by the provider on Apr 27, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
120241300MedicaidWY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, AK2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20090204000154 KS Practitioner - Physical Therapist in Private Practice 8325945819
I20231106000201 AK Practitioner - Physical Therapist in Private Practice 8325945819 Reassigns benefits to 2 organizations

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
North Pole Physical Therapy IncGroup PAC ID 7416940390, 16 clinicians

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

LicenseStateTypeSpecialty
PT-1092WYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
United Physical Therapy, LLC Physical Therapist CurrentSince May 1, 2024 Accepting new patients
North Pole Physical Therapy, Inc CurrentSince Sep 28, 2023 Accepting new patients
Lifequest Counseling Solutions LLC PastSince Aug 7, 2024 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.

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.

Verify at the official NPI Registry.