Organization Active NPI

Advanced PT Haysville LLC

Doing business as Advanced PT Haysville

  • Physical Therapist
  • Haysville, KS
National Provider Identifier
1174619902
Registry record updated Oct 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11-01487 Issued in KS
Legal business name
ADVANCED PT HAYSVILLE LLC
Doing business as
Advanced PT Haysville
Practice address
207 W Grand Ave
Haysville, KS 67060-1228
Phone
(316) 524-3738
Fax
(316) 522-2752
NPI assigned
Oct 5, 2006
Last updated
Oct 15, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2007

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

Authorized official

Name
David C Todd, P.T.NPI 1992730204
Title
Owner
Phone
(316) 260-6869

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 11-01487 KS Primary

Addresses

Primary practice location

207 W Grand Ave
Haysville, KS 67060-1228

Mailing address

200 W Douglas
Ste 1040
Wichita, KS 67202-3017
Phone (316) 263-0003

Other names 1

  • Advanced PT Haysville Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192406400000",
    "number": "1174619902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W DOUGLAS",
            "address_2": "STE 1040",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672023017",
            "telephone_number": "316-263-0003",
            "fax_number": "316-263-1241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 W GRAND AVE",
            "city": "HAYSVILLE",
            "state": "KS",
            "postal_code": "670601228",
            "telephone_number": "316-524-3738",
            "fax_number": "316-522-2752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED PT HAYSVILLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2007-10-15",
        "status": "A",
        "authorized_official_last_name": "TODD",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "316-260-6869",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "11-01487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced PT Haysville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Haysville, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2007; 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.