Individual provider Active NPI

Linda A Brennan, PT

  • Physical Therapist
  • Wichita, KS
National Provider Identifier
1306980727
Registry record updated Feb 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11-02190 Issued in KS
Practice address
834 N Socora St
Ste 1
Wichita, KS 67212-3279
Phone
(316) 440-3731
Fax
(316) 440-3741
NPI assigned
Feb 18, 2007
Last updated
Feb 20, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 11-02190 KS Primary

Addresses

Primary practice location

834 N Socora St
Ste 1
Wichita, KS 67212-3279

Mailing address

1518 N Valleyview CT
Wichita, KS 67212-1257
Phone (316) 462-2273

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170321000104 KS Practitioner - Physical Therapist in Private Practice 2961787668 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Mayo Medical School, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced PT LLCGroup PAC ID 3678524709, 84 clinicians

Practice addresses (Care Compare)

3730 N Ridge Rd
Suite 500
Wichita, KS 67205-1233
Phone (316) 440-4901

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11-02190KSMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced PT LLC Physical Therapist CurrentSince Feb 1, 2017 Accepting new patients
Advanced PT LLC Physical Therapist CurrentSince Feb 1, 2017 Accepting new patients
Advanced PT, LLC PastSince Feb 1, 2017 Accepting new patients
Envision Vision Rehabilitation Center Inc Past Accepting new patients

Locations

400 W 4th St
McPherson, KS 67460
Phone (620) 241-4201

315 W Washington Ave
Sterling, KS 67579
Phone (620) 204-6116

200 W Douglas Ave
Ste 1040
Wichita, KS 67202
Phone (866) 412-5554

2243 S Meridian Ave
Ste 105
Wichita, KS 67213
Phone (316) 942-5448

3730 N Ridge Rd
Ste 500
Wichita, KS 67205
Phone (316) 440-4901

4515 E Central Ave
Ste A
Wichita, KS 67208
Phone (316) 260-6869

6940 W Newell St
Wichita, KS 67212
Phone (316) 440-3731

834 N Socora St
Ste 1
Wichita, KS 67212
Phone (316) 440-3731

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1171756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487548800000",
    "number": "1306980727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1518 N VALLEYVIEW CT",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672121257",
            "telephone_number": "316-462-2273",
            "fax_number": "316-462-2276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "834 N SOCORA ST",
            "address_2": "STE 1",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672123279",
            "telephone_number": "316-440-3731",
            "fax_number": "316-440-3741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRENNAN",
        "first_name": "LINDA",
        "middle_name": "A",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-18",
        "last_updated": "2017-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "11-02190",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Feb 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.