Individual provider Active NPI

Douglas K Dunn, PT

  • Physical Therapist
  • Hutchinson, KS
National Provider Identifier
1316931124
Registry record updated Sep 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11-02253 Issued in KS
Practice address
1818 E 23Rd Ave
Hutchinson, KS 67502-1106
Phone
(620) 665-7766
Fax
(620) 662-2811
NPI assigned
Sep 7, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2008

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 11-02253 KS Primary

Addresses

Primary practice location

1818 E 23Rd Ave
Hutchinson, KS 67502-1106

Mailing address

601 E Clay St
Valley Center, KS 67147-2016
Phone (620) 665-7766

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090106000517 KS Practitioner - Physical Therapist in Private Practice 1759444524 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Summit Surgical LLCGroup PAC ID 5193731610, 6 clinicians

Practice addresses (Care Compare)

125 W Cooper St
Sterling, KS 67579-1533
Phone (620) 278-4338

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11-02253KSMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Surgical LLC Physical Therapist CurrentSince Aug 23, 2023 Accepting new patients

Locations

1818 E 23rd Ave
Hutchinson, KS 67502
Phone (620) 662-6000

125 W Cooper St
Sterling, KS 67579
Phone (620) 278-4259

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1126051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221177600000",
    "number": "1316931124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 E CLAY ST",
            "city": "VALLEY CENTER",
            "state": "KS",
            "postal_code": "671472016",
            "telephone_number": "620-665-7766",
            "fax_number": "620-662-2811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1818 E 23RD AVE",
            "city": "HUTCHINSON",
            "state": "KS",
            "postal_code": "675021106",
            "telephone_number": "620-665-7766",
            "fax_number": "620-662-2811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNN",
        "first_name": "DOUGLAS",
        "middle_name": "K",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-07",
        "last_updated": "2008-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "11-02253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hutchinson, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2008; 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.