Active NPI
Bonny Schartz
- Physical Therapy Assistant
- Great Bend, KS
National Provider Identifier
1083920110
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 14-00331
- Practice address
- 1514 K 96 Hwy
Suite B
Great Bend, KS 67530-3012 - Phone
- (620) 792-7868
- Fax
- (620) 792-7867
- NPI assigned
- Aug 26, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
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.
-
- Physical Therapy Clinic/Center
- Great Bend, KS
- NPI 1013948975
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 |
|---|---|---|---|
| 14-00331 | KS | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Therapy & Sports Medicine, Chartered | Past | Accepting new patients |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 14-00331 | KS | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
1514 K 96 Hwy
Suite B
Great Bend, KS 67530-3012
Mailing address
1514 K 96 Hwy
Suite B
Great Bend, KS 67530-3012
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 26, 2010.
{
"created_epoch": "1282780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1282780800000",
"number": "1083920110",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1514 K 96 HWY",
"address_2": "SUITE B",
"city": "GREAT BEND",
"state": "KS",
"postal_code": "675303012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1514 K 96 HWY",
"address_2": "SUITE B",
"city": "GREAT BEND",
"state": "KS",
"postal_code": "675303012",
"telephone_number": "620-792-7868",
"fax_number": "620-792-7867"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHARTZ",
"first_name": "BONNY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-26",
"last_updated": "2010-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "KS",
"license": "14-00331",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Great Bend, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.