Individual provider Active NPI

Nancy Diane Woodruff, PT

  • Orthopedic Physical Therapist
  • Wichita, KS
National Provider Identifier
1316093610
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
11-01306 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
Jan 27, 2007
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 11-01306 KS Primary

Addresses

Primary practice location

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

Mailing address

1888 N Lark Cir
Wichita, KS 67212-7412
Phone (316) 722-9008

Other practice location 1

854 N Socora St
Wichita, KS 67212-3238
Phone (316) 729-6236

Other names 1

  • Nancy Diane Tarum Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100118000061 KS Practitioner - Physical Therapist in Private Practice 7911049762 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1986
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
11-01306KSMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced PT LLC CurrentSince Feb 1, 2018 Accepting new patients
Newton Healthcare Corporation CurrentSince Jan 17, 2024 Accepting new patients
Advanced PT LLC CurrentSince Feb 1, 2018 Accepting new patients
Newton Healthcare Corporation CurrentSince Jan 17, 2024 Accepting new patients
Advanced PT, LLC PastSince Feb 1, 2018 Accepting new patients
Via Christi Rehabilitation Hospital, Inc Past Accepting new patients

Locations

701 S Main St
Hesston, KS 67062
Phone (316) 283-7187

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

510 E Wheatridge Dr
Newton, KS 67114
Phone (316) 836-4700

600 Medical Center Dr
Newton, KS 67114
Phone (316) 283-2700

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

3460 N Ridge Rd
Ste 80
Wichita, KS 67205
Phone (316) 202-0340

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 7

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": "1169856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1316093610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1888 N LARK CIR",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672127412",
            "telephone_number": "316-722-9008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "834 N SOCORA ST STE 1",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672123279",
            "telephone_number": "316-440-3731",
            "fax_number": "316-440-3741"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "854 N Socora St",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672123238",
            "country_code": "US",
            "telephone_number": "316-729-6236",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOODRUFF",
        "first_name": "NANCY",
        "middle_name": "DIANE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-27",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "KS",
            "license": "11-01306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NANCY",
            "last_name": "TARUM",
            "middle_name": "DIANE",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Mar 17, 2018; 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.