Candace A Bahner, PT
Individual provider Active NPI Physical Therapist · Topeka, KS
NPI 1275629552 · NPPES record last updated Dec 28, 2011
Key facts
- NPI
- 1275629552
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 0699 (KS)
- Practice address
- 5220 SW 17TH St
Suite 130
Topeka, KS 66604-2500 - Phone
- (784) 271-5533
- Fax
- (785) 271-8818
- NPI assigned
- Oct 5, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0699 | KS | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rebound Physical Therapy at Wood Valley | Physical Therapist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 0699 | KS | Yes |
Addresses
Primary practice location
5220 SW 17TH St
Suite 130
Topeka, KS 66604-2500
Mailing address
5220 SW 17TH St
Suite 130
Topeka, KS 66604-2500
Phone (784) 271-5533
Other providers in Topeka, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 28, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.