Active NPI
Nancy Gail Wilson, PT
- Physical Therapist
- Wichita, KS
National Provider Identifier
1154583680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11-01374
- Practice address
- 1999 N Amidon Ave
Suite 100
Wichita, KS 67203-2121 - Phone
- (316) 262-8800
- Fax
- (866) 207-9095
- NPI assigned
- Jun 26, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 11-01374 | KS | Primary |
Addresses
Primary practice location
1999 N Amidon Ave
Suite 100
Wichita, KS 67203-2121
Mailing address
1999 N Amidon Ave
Suite 100
Wichita, KS 67203-2121
Phone (316) 262-8800
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11-01374 | KS | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Worksafe Physical Therapy, Inc. | Current | Accepting new patients | |
| PT Plus, Inc. | Past | Accepting new patients |
Locations
1999 N Amidon Ave
Ste 100
Wichita, KS 67203
Phone (316) 262-8800
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.
-
- Occupational Medicine Clinic/Center
- Wichita, KS
- NPI 1467626010
-
- Physical Therapy Clinic/Center
- Augusta, KS
- NPI 1457345829
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681344000000",
"number": "1154583680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1999 N AMIDON AVE",
"address_2": "SUITE 100",
"city": "WICHITA",
"state": "KS",
"postal_code": "672032121",
"telephone_number": "316-262-8800",
"fax_number": "866-207-9095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1999 N AMIDON AVE",
"address_2": "SUITE 100",
"city": "WICHITA",
"state": "KS",
"postal_code": "672032121",
"telephone_number": "316-262-8800",
"fax_number": "866-207-9095"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "NANCY",
"middle_name": "GAIL",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-26",
"last_updated": "2023-04-13",
"certification_date": "2023-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KS",
"license": "11-01374",
"primary": true
}
],
"identifiers": [],
"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 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.