Organization Active NPI

Rehabilitation Specialists of Wichita PA

  • Physical Medicine & Rehabilitation Physician
  • Wichita, KS
National Provider Identifier
1144404666
Registry record updated Apr 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
04-23692 Issued in KS
Legal business name
REHABILITATION SPECIALISTS OF WICHITA PA
Practice address
1151 N Rock Rd
Wichita, KS 67206-1262
Phone
(316) 634-3409
Fax
(316) 634-3644
NPI assigned
Dec 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2008

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

Authorized official

Name
Dr. Kevin P Rieg, M.D.
Title
Owner
Phone
(316) 634-3409

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X 04-23692 KS Primary

Addresses

Primary practice location

1151 N Rock Rd
Wichita, KS 67206-1262

Mailing address

1151 N Rock Rd
Wichita, KS 67206-1262
Phone (316) 634-3409

Other identifiers 1

IdentifierTypeStateIssuer
100317980CMedicaidKS

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1198022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208995200000",
    "number": "1144404666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1151 N ROCK RD",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672061262",
            "telephone_number": "316-634-3409",
            "fax_number": "316-634-3644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1151 N ROCK RD",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672061262",
            "telephone_number": "316-634-3409",
            "fax_number": "316-634-3644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHABILITATION SPECIALISTS OF WICHITA PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-19",
        "last_updated": "2008-04-24",
        "status": "A",
        "authorized_official_last_name": "RIEG",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "316-634-3409",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "KS",
            "license": "04-23692",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100317980C",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Apr 24, 2008; 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.