Marie Catherine Radke, DPT

Individual provider Active NPI Physical Therapist · Topeka, KS

NPI 1154980720 · NPPES record last updated Jun 7, 2019

Key facts

NPI
1154980720
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
11-06130 (KS)
Practice address
7220 SW Asbury Dr
Topeka, KS 66614-4706
Phone
(913) 832-8853
NPI assigned
Jun 7, 2019
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
11-06130KSMDPhysical Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 11-06130 KS Yes

Addresses

Primary practice location

7220 SW Asbury Dr
Topeka, KS 66614-4706

Mailing address

4031 W 96TH St
Overland Park, KS 66207-3513
Phone (913) 832-8853

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 7, 2019.

{
    "created_epoch": "1559865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559865600000",
    "number": "1154980720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4031 W 96TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662073513",
            "telephone_number": "913-832-8853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7220 SW ASBURY DR",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666144706",
            "telephone_number": "913-832-8853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADKE",
        "first_name": "MARIE",
        "middle_name": "CATHERINE",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-07",
        "last_updated": "2019-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "11-06130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Topeka, KS

All providers in Topeka, KS · Physical Therapist in Kansas

Sources for this page

Verify at the official NPI Registry.