Active NPI
William G. Pfizenmaier, P.T., A.T.C.
- Athletic Trainer
- Ottawa, KS
National Provider Identifier
1104921154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 24-00161
- Practice address
- 1301 S Main St
Ottawa, KS 66067-3537 - Phone
- (785) 229-8922
- Fax
- (785) 229-8344
- NPI assigned
- Sep 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 | 11-02431 | KS | |
| Athletic Trainer | 2255A2300X | 24-00161 | KS | Primary |
Addresses
Primary practice location
1301 S Main St
Ottawa, KS 66067-3537
Mailing address
2814 Louisiana Rd
Ottawa, KS 66067-8989
Phone (785) 242-7597
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11-02431 | KS | MD | Physical Therapist |
| 24-00161 | KS | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1104921154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2814 LOUISIANA RD",
"city": "OTTAWA",
"state": "KS",
"postal_code": "660678989",
"telephone_number": "785-242-7597",
"fax_number": "785-229-8343"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 S MAIN ST",
"city": "OTTAWA",
"state": "KS",
"postal_code": "660673537",
"telephone_number": "785-229-8922",
"fax_number": "785-229-8344"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PFIZENMAIER",
"first_name": "WILLIAM",
"middle_name": "G.",
"name_prefix": "Mr.",
"credential": "P.T., A.T.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-14",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KS",
"license": "11-02431",
"primary": false
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "KS",
"license": "24-00161",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ottawa, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.