Advanced PT LLC
Organization Active NPI Physical Therapist · Independence, KS
NPI 1336320340 · NPPES record last updated Mar 5, 2014
Key facts
- NPI
- 1336320340
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- Legal business name
- ADVANCED PT LLC
- Practice address
- 118 W Main St
Independence, KS 67301-3511 - Phone
- (620) 331-0999
- Fax
- (620) 331-1065
- NPI assigned
- Nov 19, 2007
- Organization subpart
- No
Authorized official
- Name
- David C Todd, PT
- Title
- PT/Owner
- Phone
- (316) 263-0003
Other NPIs on the same Medicare enrollment 27
Corporate family (same tax ID) 22
Practitioners 21
-
Justine Bruce, DPT
-
Gabriel Chavez, DPT
-
Lisa Cushing, PT
-
Shelby Davis, DPT
-
Sahar Eshghi, DPT
-
McKenna Lee Frederick, OTR/L, OTD
-
Jenna Marie Juarez, D.P.T.
-
Abby Lea Siler, PT, DPT
-
Jonathan V Thao, DPT, ATC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060222000723 | KS | Part B Supplier - Clinic/Group Practice | 3678524709 |
Receives reassigned benefits from 102 practitioners 27 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Arkansas City, KS; Andover, KS; Winfield, KS; Wichita, KS; Wellington, KS; Sterling, KS; Park City, KS; Newton, KS… |
National Provider Directory
- Tax ID family
- Preferred PT Nampa
Locations
118 W Main St
Independence, KS 67301
Phone (620) 331-0999
1755 E 61st St N
Ste 4
Park City, KS 67219
Phone (316) 361-5425
834 N Socora St
Ste 1
Wichita, KS 67212
Phone (316) 440-3731
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | Yes | ||
| Durable Medical Equipment & Medical Supplies | 332B00000X |
Addresses
Primary practice location
118 W Main St
Independence, KS 67301-3511
Mailing address
200 W Douglas
Ste 1040
Wichita, KS 67202-3017
Phone (316) 263-0003
Other names
- Advanced PT Independence
Other providers in Independence, KS
- Advanced PT Independence LLC
- Kendra Alford
- Michael Alford
- Laura Lea Allen
- Always There Home Care, LLC
- Americare at Montgomery Place Nursing Center LLC
All providers in Independence, KS · Physical Therapist in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 5, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.