Individual provider Active NPI

Whitney Nicole Stapleton, P.T.

  • Physical Therapist
  • Dodge City, KS
National Provider Identifier
1154582468
Registry record updated Aug 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11-03424 Issued in KS
Practice address
1909 N 14TH Ave
Dodge City, KS 67801-2364
Phone
(620) 338-8633
NPI assigned
Jun 19, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 11-03424 KS Primary

Addresses

Primary practice location

1909 N 14TH Ave
Dodge City, KS 67801-2364

Mailing address

33902 10 Rd
Montezuma, KS 67867-9111
Phone (620) 846-2971

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080903000421 KS Practitioner - Physical Therapist in Private Practice 3971679655 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Western Kansas Rehabilitation Services, PA.Group PAC ID 6103065552, 2 clinicians

Practice addresses (Care Compare)

1501 E Fulton Ter
Suite 1
Garden City, KS 67846-6290
Phone (620) 805-6883

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11-03424KSMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Western Kansas Rehabilitation Services PA Physical Therapist CurrentSince Feb 25, 2019 Accepting new patients
Fischer Chiropractic PA Past Accepting new patients

Locations

1501 E Fulton Ter
#1
Garden City, KS 67846
Phone (620) 805-6883

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1213833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377648000000",
    "number": "1154582468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33902 10 RD",
            "city": "MONTEZUMA",
            "state": "KS",
            "postal_code": "678679111",
            "telephone_number": "620-846-2971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1909 N 14TH AVE",
            "city": "DODGE CITY",
            "state": "KS",
            "postal_code": "678012364",
            "telephone_number": "620-338-8633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAPLETON",
        "first_name": "WHITNEY",
        "middle_name": "NICOLE",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-19",
        "last_updated": "2013-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "11-03424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dodge City, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.