Organization Active NPI

Palmer Physical Therapy for Women, Inc.

  • Physical Therapy Clinic/Center
  • Wichita, KS
National Provider Identifier
1205945888
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
PALMER PHYSICAL THERAPY FOR WOMEN, INC.
Practice address
2020 N Webb Rd
Suite 104
Wichita, KS 67206-3407
Phone
(316) 630-9944
Fax
(316) 630-9945
NPI assigned
Aug 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Pam Palmer, PT
Title
Owner
Phone
(316) 630-9944

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X KS Primary

Addresses

Primary practice location

2020 N Webb Rd
Suite 104
Wichita, KS 67206-3407

Mailing address

2020 N Webb Rd
Suite 104
Wichita, KS 67206-3407
Phone (316) 630-9944

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040407000381 KS Part B Supplier - Physical/Occupational Therapy Group in Private Practice 0749273555 Receives reassigned benefits from 8 practitioners
Practice locations: Wichita, KS

National Provider Directory

National Provider Directory

Locations

10333 E 21st St N
Ste 406
Wichita, KS 67206
Phone (316) 630-9944

2020 N Webb Rd
Ste 104
Wichita, KS 67206
Phone (316) 630-9944

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1205945888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 N WEBB RD",
            "address_2": "SUITE 104",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672063407",
            "telephone_number": "316-630-9944",
            "fax_number": "316-630-9945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 N WEBB RD",
            "address_2": "SUITE 104",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672063407",
            "telephone_number": "316-630-9944",
            "fax_number": "316-630-9945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMER PHYSICAL THERAPY FOR WOMEN, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-29",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "PALMER",
        "authorized_official_first_name": "PAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "316-630-9944",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "KS",
            "license": null,
            "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 Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.