Active NPI
Alexis Nicole Michel
- Geriatric Physical Therapist
- Wichita, KS
National Provider Identifier
1346653219
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Physical Therapist
- License
- 1104558
- Practice address
- 2727 N Rock Rd
Wichita, KS 67226-1128 - Phone
- (316) 636-1000
- NPI assigned
- Jun 8, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Physical Therapist | 2251G0304X | 1104558 | KS | Primary |
Addresses
Primary practice location
2727 N Rock Rd
Wichita, KS 67226-1128
Mailing address
202 N Rock Rd Apt 612
Wichita, KS 67206-2249
Phone (785) 230-0058
Other names 1
- Alexis Nicole Pryor
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1104558 | KS | MD | Geriatric Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402185600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1402185600000",
"number": "1346653219",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "202 N ROCK RD APT 612",
"city": "WICHITA",
"state": "KS",
"postal_code": "672062249",
"telephone_number": "785-230-0058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2727 N ROCK RD",
"city": "WICHITA",
"state": "KS",
"postal_code": "672261128",
"telephone_number": "316-636-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MICHEL",
"first_name": "ALEXIS",
"middle_name": "NICOLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-08",
"last_updated": "2014-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "2251G0304X",
"taxonomy_group": "",
"desc": "Physical Therapist, Geriatrics",
"state": "KS",
"license": "1104558",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ALEXIS",
"last_name": "PRYOR",
"middle_name": "NICOLE",
"credential": "DPT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Wichita, KS
- Michael M. Vesali MD, P.a (Comprehensive Sleep Disorders & Neurodiagnostic Center of Kansas)
- Michael N Williams DDS PA
- Michael Parsons & Associates Eyecare Group, P.a.
- Rodney Michael
- Kellie Michaud, LMSW
- Robert Michel
- Michelle D. Scheu, Lscsw, LLC
- Michelle Miller Professional Counseling LLC
- Michelle Oliphant, LLC
- Michelle Peckham, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.