Interactive Physical Therapy LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

11-02038 Issued in KS

Legal business name

INTERACTIVE PHYSICAL THERAPY LLC

Practice address

4745 NW Hunters Ridge Cir Ste D
Topeka, KS 66618-2538

Phone

(785) 246-2300

Fax

(785) 246-2301

NPI assigned

Nov 24, 2006

Last updated

Nov 21, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Ric A Baird, PTNPI 1992745046

Title

Owner

Phone

(785) 246-2300

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ric A Baird, PT, DPT, ATC

  • Physical Therapist
  • Topeka, KS
  • NPI 1992745046
  NPD (past) Authorized official
• Robert O Clifton, PHYSICAL THERAPIST

  • Orthopedic Physical Therapist
  • Topeka, KS
  • NPI 1689614745
  NPD (past)
• Jenna L Hamilton, PT

  • Physical Therapist
  • Topeka, KS
  • NPI 1053607598
  NPD (past)
• Cory D Jones, PTA

  • Physical Therapy Assistant
  • Topeka, KS
  • NPI 1174604912
  NPD (past)
• Jonathan Richard Jones, P.T.

  • Physical Therapist
  • Olathe, KS
  • NPI 1407953722
  NPD (past)
• Amy L Newbery, PT

  • Physical Therapist
  • Topeka, KS
  • NPI 1063417111
  NPD (past)

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

{
    "created_epoch": "1164326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384992000000",
    "number": "1316013204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3405 NW HUNTERS RIDGE TER STE 300",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666182510",
            "telephone_number": "785-246-2300",
            "fax_number": "785-246-2301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4745 NW HUNTERS RIDGE CIR STE D",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666182538",
            "telephone_number": "785-246-2300",
            "fax_number": "785-246-2301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERACTIVE PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-24",
        "last_updated": "2013-11-21",
        "status": "A",
        "authorized_official_last_name": "BAIRD",
        "authorized_official_first_name": "RIC",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "785-246-2300",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "KS",
            "license": "11-02038",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100447490A",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP NUMBER",
            "identifier": "115585",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Danielle E Irwin
• Richard N Isaacson, MD

• Physical Therapy Clinic/Center in Topeka, KS
• Providers in Topeka, KS by specialty
• Physical Therapy Clinic/Center in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2013; 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.