Theracare, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

THERACARE, LLC

Practice address

3729 W Central Ave
Wichita, KS 67203-4925

Phone

(316) 945-8020

Fax

(316) 616-0106

NPI assigned

Mar 8, 2007

Last updated

Aug 22, 2020By 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

Jamie L Mock

Title

Practice Manager

Phone

(316) 945-8020

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.

• Jill D Austin, PT

  • Physical Therapist
  • Wichita, KS
  • NPI 1003890260
  NPD (past)
• Lisa Marie Pendleton, RPT

  • Physical Therapist
  • Wichita, KS
  • NPI 1558494146
  NPD (past)
• Troy M Simpson, R.P.T.

  • Physical Therapist
  • Wichita, KS
  • NPI 1326096561
  NPD (past)
• Christine A Statler, PT

  • Physical Therapist
  • Wichita, KS
  • NPI 1659358505
  NPD (past)
• Shana Lynne Herrman, PT

  • Physical Therapist
  • Alma, MI
  • NPI 1457359796
  NPD (past)
• Sarah E Stredney, PT

  • Physical Therapist
  • Darien, IL
  • NPI 1689653719
  NPD (past)

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1326179482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3729 W CENTRAL AVE",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672034925",
            "telephone_number": "316-945-8020",
            "fax_number": "316-616-0106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3729 W CENTRAL AVE",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672034925",
            "telephone_number": "316-945-8020",
            "fax_number": "316-616-0106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERACARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOCK",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "316-945-8020"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FAMILY HEALTH PARTNERS",
            "identifier": "465890",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "115543",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Javanthi Theegala, MD
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• Paula K Theisen, OTR
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• Angela Michelle Theobald
• Therapeutic Massage Group and Equipment
• Therapeutic Medical Supply Inc
• Therapeutic Paradigm
• Therapeutic Time, LLC
• Therapeyton, LLC

• Physical Therapist in Wichita, KS
• Providers in Wichita, KS by specialty
• Physical Therapist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.