NPIMap

Organization Active NPI

Quantum Shift Physical Therapy and Wellness Center LLC

  • Physical Therapy Clinic/Center
  • Lawrence, KS
National Provider Identifier
1336496157
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
11-02207 Issued in KS
Legal business name
QUANTUM SHIFT PHYSICAL THERAPY AND WELLNESS CENTER LLC
Practice address
1201 Wakarusa Dr Ste E1
Lawrence, KS 66049-1892
Phone
(785) 856-7389
Fax
(785) 856-7392
NPI assigned
Aug 10, 2012
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Denise Mead, MSPT
Title
Physical Therapist and Owner
Phone
(785) 727-3603

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 11-02207 KS Primary

Addresses

Primary practice location

1201 Wakarusa Dr Ste E1
Lawrence, KS 66049-1892

Mailing address

1201 Wakarusa Dr Ste E1
Lawrence, KS 66049-1892
Phone (785) 856-7389

Other practice location 1

3115 W 6th St
Ste. B
Lawrence, KS 66049-3101
Phone (785) 856-7389

National Provider Directory

National Provider Directory

Locations

5020 Bob Billings Pkwy
Ste C1
Lawrence, KS 66049
Phone (785) 856-3220

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1344556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1336496157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 WAKARUSA DR STE E1",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660491892",
            "telephone_number": "785-856-7389",
            "fax_number": "785-856-7392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 WAKARUSA DR STE E1",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660491892",
            "telephone_number": "785-856-7389",
            "fax_number": "785-856-7392"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3115 W 6th St",
            "address_2": "Ste. B",
            "address_purpose": "LOCATION",
            "city": "Lawrence",
            "state": "KS",
            "postal_code": "660493101",
            "country_code": "US",
            "telephone_number": "785-856-7389",
            "fax_number": "785-856-7392",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "QUANTUM SHIFT PHYSICAL THERAPY AND WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-10",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MEAD",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST AND OWNER",
        "authorized_official_telephone_number": "785-727-3603",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "KS",
            "license": "11-02207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.