Kristin Diane Ewertz, DPT
Individual provider Active NPI Physical Therapist · Wichita, KS
NPI 1275769010 · NPPES record last updated Mar 2, 2012
Key facts
- NPI
- 1275769010
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 11-03953 (KS)
- Practice address
- 13303 W Maple St
Ste 129
Wichita, KS 67235-8757 - Phone
- (316) 854-5859
- Fax
- (316) 854-5860
- NPI assigned
- Jun 8, 2009
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
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 |
|---|---|---|---|
| 11-03953 | KS | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kristin Ewertz Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Physiotherapy Associates Inc | Past | Accepting new patients | |
| Kansas Orthopaedic Center, P.a. | Past | Accepting new patients | |
| Physiotherapy Associates Inc | Past | Accepting new patients | |
| Advanced PT McPherson LLC | Physical Therapist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 11-03953 | KS | Yes |
Addresses
Primary practice location
13303 W Maple St
Ste 129
Wichita, KS 67235-8757
Mailing address
13303 W Maple St
Ste 129
Wichita, KS 67235-8757
Phone (316) 854-5859
Other providers in Wichita, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 2, 2012. 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.