Organization Active NPI

Fasttrack Physical Therapy and Sports Rehabilitation

  • Physical Therapy Clinic/Center
  • Wichita, KS
National Provider Identifier
1295903250
Registry record updated Jan 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
1102111 Issued in KS
Legal business name
FASTTRACK PHYSICAL THERAPY AND SPORTS REHABILITATION
Practice address
2290 N Tyler Rd #300
Wichita, KS 67215
Phone
(316) 722-5722
Fax
(316) 722-5734
NPI assigned
Feb 13, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2009

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

Authorized official

Name
Catrina M Ward
Title
Office Manager
Phone
(316) 722-5722

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 1102111 KS Primary

Addresses

Primary practice location

2290 N Tyler Rd #300
Wichita, KS 67215

Mailing address

2290 N Tyler Rd #300
Wichita, KS 67215
Phone (316) 722-5722

Other identifiers 1

IdentifierTypeStateIssuer
115651OtherKSBCBS KS

National Provider Directory

National Provider Directory

Locations

2290 N Tyler Rd
#300
Wichita, KS 67205
Phone (316) 722-5722

Practitioners & affiliated clinicians

Practitioners 1

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": "1202860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231718400000",
    "number": "1295903250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2290 N TYLER RD #300",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "67215",
            "telephone_number": "316-722-5722",
            "fax_number": "316-722-5734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2290 N TYLER RD #300",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "67215",
            "telephone_number": "316-722-5722",
            "fax_number": "316-722-5734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FASTTRACK PHYSICAL THERAPY AND SPORTS REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-13",
        "last_updated": "2009-01-12",
        "status": "A",
        "authorized_official_last_name": "WARD",
        "authorized_official_first_name": "CATRINA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "316-722-5722"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "KS",
            "license": "1102111",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS KS",
            "identifier": "115651",
            "state": "KS"
        }
    ],
    "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 Jan 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.