Anna Middleton, DPT
Individual provider Active NPI Physical Therapist · Wichita, KS
NPI 1194070920 · NPPES record last updated Nov 13, 2013
Key facts
- NPI
- 1194070920
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 11-04519 (KS)
- Practice address
- 854 N Socora St
Wichita, KS 67212-3288 - Phone
- (316) 721-8111
- NPI assigned
- Jul 18, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180219002420 | KS | Practitioner - Physical Therapist in Private Practice | 9638430481 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11-04519 | KS | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sumner County Hospital District No 1 | Current |
Accepting new patients | |
| Sumner County Hospital District No 1 | Current |
Accepting new patients | |
| Via Christi Rehabilitation Hospital, Inc | Physical Therapist | Past | Accepting new patients |
Locations
761 W 175th St S
Caldwell, KS 67022
Phone (620) 845-6492
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 11-04519 | KS | Yes |
Addresses
Primary practice location
854 N Socora St
Wichita, KS 67212-3288
Mailing address
854 N Socora St
Wichita, KS 67212-3288
Phone (316) 729-6236
Other providers in Wichita, KS
- Mid-Kansas Women'S Center P.a.
- Mid-Kansas Wound Specialist P a
- Mid-Plains Anesthesia Services LLC
- Mid-South Home Care Services, LLC
- Darla Marie Middlebrooks
- Erika Middleton
- Midkansas Neurocritical Services LLC
- Midwest Behavioral Sciences
- Midwest Counseling Services, LLC
- Midwest Dental Kansas Wichita Woodlawn PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 13, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.