Individual provider Active NPI

Rachel L Roman, DPT

  • Physical Therapist
  • Wichita, KS
National Provider Identifier
1336450139
Registry record updated Mar 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11-04123 Issued in KS
Practice address
3730 N Ridge Rd
Ste 500
Wichita, KS 67205-1227
Phone
(316) 440-3731
Fax
(316) 440-3741
NPI assigned
Jun 25, 2010
Last updated
Mar 10, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2016

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 11-04123 KS Primary

Addresses

Primary practice location

3730 N Ridge Rd
Ste 500
Wichita, KS 67205-1227

Mailing address

200 W Douglas Ave Ste 1040
Wichita, KS 67202-3017
Phone (316) 263-0003

Other names 1

  • Rachel Haag Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160415001956 KS Practitioner - Physical Therapist in Private Practice 9931407491 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Phoenix Physical Therapy LLCGroup PAC ID 3779914544, 50 clinicians
Advanced PT LLCGroup PAC ID 3678524709, 84 clinicians

Practice addresses (Care Compare)

12627 E Central Ave
Suite 308
Wichita, KS 67206-2839
Phone (316) 260-3311

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
11-04123KSMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced PT LLC Physical Therapist CurrentSince Mar 14, 2016 Accepting new patients
Preferred PT LLC Physical Therapist CurrentSince Nov 1, 2016 Accepting new patients
Phoenix Physical Therapy LLC CurrentSince Dec 1, 2020 Accepting new patients
True Physical Therapy, P.a. Physical Therapist CurrentSince Feb 3, 2022 Accepting new patients
Preferred PT LLC Physical Therapist Current Accepting new patients
Advanced PT LLC Physical Therapist CurrentSince Mar 14, 2016 Accepting new patients
Preferred PT, LLC Physical Therapist CurrentSince Nov 1, 2016 Accepting new patients
Advanced PT LLC Physical Therapist Current Accepting new patients
Advanced PT, LLC PastSince Mar 14, 2016 Accepting new patients
Summit Chiropractic PastSince Sep 5, 2023 Accepting new patients
Summit Physical Therapy, LLC Physical Therapist PastSince Apr 29, 2024 Accepting new patients

Locations

2803 N Lorraine St
Ste F
Hutchinson, KS 67502
Phone (620) 662-3111

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

8550 Marshall Dr
Ste 210
Overland Park, KS 66214
Phone (913) 492-0333

315 W Washington Ave
Sterling, KS 67579
Phone (620) 204-6116

12627 E Central Ave
Wichita, KS 67206

12627 E Central Ave
Ste 308
Wichita, KS 67206

1819 N Greenwich Rd
Ste A
Wichita, KS 67206
Phone (316) 260-8239

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

2081 N Webb Rd
Ste B
Wichita, KS 67206
Phone (316) 206-8239

2243 S Meridian Ave
Ste 105
Wichita, KS 67213
Phone (316) 942-5448

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

Organizations & group practices 12

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": "1277424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457568000000",
    "number": "1336450139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W DOUGLAS AVE STE 1040",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672023017",
            "telephone_number": "316-263-0003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3730 N RIDGE RD",
            "address_2": "STE 500",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672051227",
            "telephone_number": "316-440-3731",
            "fax_number": "316-440-3741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMAN",
        "first_name": "RACHEL",
        "middle_name": "L",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-25",
        "last_updated": "2016-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "11-04123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHEL",
            "last_name": "HAAG",
            "credential": "DPT",
            "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 10, 2016; 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.