NPIMap

Organization Active NPI

Brigham Physical Therapy LLC

Doing business as Brigham Physical Therapy

  • Physical Therapy Clinic/Center
  • Wichita, KS
National Provider Identifier
1124556709
Registry record updated Dec 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
1104875 Issued in KS
Legal business name
BRIGHAM PHYSICAL THERAPY LLC
Doing business as
Brigham Physical Therapy
Practice address
7335 W 33Rd St N
Wichita, KS 67205-9368
Phone
(316) 866-7067
Fax
(844) 788-4005
NPI assigned
May 26, 2017
Last updated
Dec 9, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2024

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

Authorized official

Name
Kelsie Brigham, DPTNPI 1538570122
Title
Owner
Phone
(316) 866-7067

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 1104875 KS Primary

Addresses

Primary practice location

7335 W 33Rd St N
Wichita, KS 67205-9368

Mailing address

PO Box 75345
Wichita, KS 67275-0345
Phone (316) 259-2407

Other names 1

  • Brigham Physical Therapy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170627002757 KS Part B Supplier - Physical/Occupational Therapy Group in Private Practice 2466721931 Receives reassigned benefits from 6 practitioners
Practice locations: Wichita, KS

National Provider Directory

National Provider Directory

Locations

1443 N Ridge Rd
Wichita, KS 67212
Phone (316) 227-1767

7335 W 33rd St N
Wichita, KS 67205
Phone (316) 773-0405

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1495756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733702400000",
    "number": "1124556709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 75345",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672750345",
            "telephone_number": "316-259-2407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7335 W 33RD ST N",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672059368",
            "telephone_number": "316-866-7067",
            "fax_number": "844-788-4005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHAM PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-26",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A",
        "authorized_official_last_name": "BRIGHAM",
        "authorized_official_first_name": "KELSIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "316-866-7067",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "KS",
            "license": "1104875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brigham Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Brigham Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.