Organization Active NPI

Catalyst Therapy and Sports Rehab LLC

  • Physical Therapy Clinic/Center
  • Great Bend, KS
National Provider Identifier
1285215293
Registry record updated May 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
CATALYST THERAPY AND SPORTS REHAB LLC
Practice address
2817 9TH St
Great Bend, KS 67530-4809
Phone
(785) 639-2483
NPI assigned
Apr 20, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2022

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

Authorized official

Name
Daniel Quillin, DPT, ATC, CSCSNPI 1992119457
Title
Owner
Phone
(620) 282-4825

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

2817 9TH St
Great Bend, KS 67530-4809

Mailing address

2817 9TH St
Great Bend, KS 67530-4809
Phone (620) 282-4825

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210526000478 KS Part B Supplier - Physical/Occupational Therapy Group in Private Practice 0749689636 Receives reassigned benefits from 4 practitioners
Practice locations: Great Bend, KS

National Provider Directory

National Provider Directory

Locations

2817 9th St
Great Bend, KS 67530
Phone (620) 282-4825

Practitioners & affiliated clinicians

Practitioners 4

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": "1618876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651536000000",
    "number": "1285215293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2817 9TH ST",
            "city": "GREAT BEND",
            "state": "KS",
            "postal_code": "675304809",
            "telephone_number": "620-282-4825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2817 9TH ST",
            "city": "GREAT BEND",
            "state": "KS",
            "postal_code": "675304809",
            "telephone_number": "785-639-2483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATALYST THERAPY AND SPORTS REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-20",
        "last_updated": "2022-05-03",
        "certification_date": "2022-05-03",
        "status": "A",
        "authorized_official_last_name": "QUILLIN",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "620-282-4825",
        "authorized_official_credential": "DPT, ATC, CSCS"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Bend, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 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.