Wilcox Advanced Physical Therapy, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

11-03350 Issued in KS

Legal business name

WILCOX ADVANCED PHYSICAL THERAPY, LLC

Practice address

2243 S Meridian Ave
Wichita, KS 67213-1949

Phone

(316) 942-5448

Fax

(316) 945-5694

NPI assigned

Oct 5, 2006

Organization subpart

No

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

Authorized official

Name

Matthew D Wilcox

Title

Owner

Phone

(316) 942-5448

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lana K Smith, P.T.

  • Physical Therapist
  • Wichita, KS
  • NPI 1225069602
  NPD (past)
• Andy C Tran, P.T.

  • Physical Therapist
  • Wichita, KS
  • NPI 1043307879
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354060800000",
    "number": "1104912922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W DOUGLAS AVE",
            "address_2": "STE 1040",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672023013",
            "telephone_number": "316-263-0003",
            "fax_number": "316-263-1241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2243 S MERIDIAN AVE",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672131949",
            "telephone_number": "316-942-5448",
            "fax_number": "316-945-5694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILCOX ADVANCED PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2012-11-28",
        "status": "A",
        "authorized_official_last_name": "WILCOX",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "316-942-5448"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "11-03350",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DQ6270",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "KA1554",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Taylor Austin Wilbeck, D.C.
• Timothy R Wilbeck, D.C
• Tony A Wilbeck, D.C.
• R Eilleen Decena Wilbert, D.C.
• Alexis D Wilburn, LMSW
• Caleb M Wilcox, PTA
• Joshua Wilcox, DPT
• Matthew D Wilcox, PTA
• Megan Wilcox, DO
• Patricia Ann Wilcox

• Physical Therapist in Wichita, KS
• Providers in Wichita, KS by specialty
• Physical Therapist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2012; 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.