Individual provider Active NPI

Zachariah O Stuke, DPT

  • Physical Therapist
  • Garden City, KS
National Provider Identifier
1336309376
Registry record updated Feb 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11-03878 Issued in KS
Practice address
1800 Palace Dr
Suite C
Garden City, KS 67846-6264
Phone
(620) 271-0700
Fax
(620) 271-0703
NPI assigned
Jun 12, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2009

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 11-03878 KS Primary

Addresses

Primary practice location

1800 Palace Dr
Suite C
Garden City, KS 67846-6264

Mailing address

1800 Palace Dr
Suite C
Garden City, KS 67846-6264
Phone (620) 271-0700

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090217000399 KS Practitioner - Physical Therapist in Private Practice 4587729066 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11444 E Central Ave
Wichita, KS 67206-2805
Phone (316) 650-1433

Merit-based Incentive Payment System (MIPS)

Final score
79.9 of 100Reported as group
Quality
62.85
Promoting interoperability
99
Improvement activities
40
Cost
70.97

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11-03878KSMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Optimal Performance Physical Therapy LLC Physical Therapist CurrentSince Nov 1, 2023 Accepting new patients
Accelacare Physical Therapy LLC Physical Therapist PastSince Jul 6, 2015 Accepting new patients

Locations

11444 E Central Ave
Wichita, KS 67206
Phone (316) 650-1433

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": "1213228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235347200000",
    "number": "1336309376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 PALACE DR",
            "address_2": "SUITE C",
            "city": "GARDEN CITY",
            "state": "KS",
            "postal_code": "678466264",
            "telephone_number": "620-271-0700",
            "fax_number": "620-271-0703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 PALACE DR",
            "address_2": "SUITE C",
            "city": "GARDEN CITY",
            "state": "KS",
            "postal_code": "678466264",
            "telephone_number": "620-271-0700",
            "fax_number": "620-271-0703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUKE",
        "first_name": "ZACHARIAH",
        "middle_name": "O",
        "name_prefix": "Mr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-12",
        "last_updated": "2009-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "11-03878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden City, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2009; 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.