Kyle Eugene Schaffer, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

11-02373 Issued in KS

Practice address

622 N Edgemoor St
Wichita, KS 67208-3602

Phone

(316) 686-5100

Fax

(316) 686-3993

NPI assigned

Mar 15, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Summit Care, LLC

  • Physical Therapist
  • Overland Park, KS
  • NPI 1033441027
  Medicare reassignment NPD

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275667644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "922 PARKWAY DR",
            "city": "VALLEY CENTER",
            "state": "KS",
            "postal_code": "671472677",
            "telephone_number": "316-755-2561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 N EDGEMOOR ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672083602",
            "telephone_number": "316-686-5100",
            "fax_number": "316-686-3993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHAFFER",
        "first_name": "KYLE",
        "middle_name": "EUGENE",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "11-02373",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KANSAS LICENSE NUMBER",
            "identifier": "11-02373",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Madison P Schadler, DPT
• Maximilian Augustine Schaefer, MD
• Sara Schaenzer, M.D.
• Genae Schafer, LPN
• Joshua Ramon Allen Schafer, MD
• Meredith Jeannine Schaffer, MSN, APRN
• Harley Diane Schainost, MD
• Dawn M Schake, ARNP
• Kaylene Marie Schamber-Heller, APRN, WHNP-BC
• Dennis Ray Scharenberg, DC P A

• Physical Therapist in Wichita, KS
• Providers in Wichita, KS by specialty
• Physical Therapist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.