Active NPI
Brigham Physical Therapy LLC
- Physical Therapy Clinic/Center
- Wichita, KS
National Provider Identifier
1124556709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- 1104875
- Legal business name
- BRIGHAM PHYSICAL THERAPY LLC
- Practice address
- 7335 W 33Rd St N
Wichita, KS 67205-9368 - Phone
- (316) 866-7067
- Fax
- (844) 788-4005
- NPI assigned
- May 26, 2017
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Kelsie Brigham, DPT
- 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.
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 DirectoryLocations
1443 N Ridge Rd
Wichita, KS 67212
Phone (316) 227-1767
8541 W 21st St N
Wichita, KS 67205
Phone (316) 227-1767
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | 1104875 | KS | Primary |
Addresses
NPPES NPI RegistryPrimary 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
NPPES NPI Registry- Brigham Physical Therapy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 9, 2024.
{
"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.