Active NPI
Advanced PT Haysville LLC
Doing business as Advanced PT Haysville
- Physical Therapist
- Haysville, KS
National Provider Identifier
1174619902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11-01487
- 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, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David C Todd, P.T.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 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
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Physical Therapist
- Wichita, KS
- NPI 1992730204
-
- Chiropractor
- Haysville, KS
- NPI 1629097498
-
- Physical Therapist
- Wichita, KS
- NPI 1023049475
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.