Individual provider Active NPI

Robben Ledeker

  • Physical Therapist
  • Arkansas City, KS
National Provider Identifier
1346691391
Registry record updated Jun 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11-04992 Issued in KS
Practice address
1711 N 4TH St
Arkansas City, KS 67005-1607
Phone
(620) 442-8700
NPI assigned
Jun 30, 2016
Sex
Female
Sole proprietor
No

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

LicenseStateTypeSpecialty
11-04992KSMDPhysical Therapist

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 11-04992 KS Primary

Addresses

NPPES NPI Registry

Primary practice location

1711 N 4TH St
Arkansas City, KS 67005-1607

Mailing address

1711 N 4TH St
Arkansas City, KS 67005-1607
Phone (620) 442-8700

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 30, 2016.

{
    "created_epoch": "1467244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467244800000",
    "number": "1346691391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1711 N 4TH ST",
            "city": "ARKANSAS CITY",
            "state": "KS",
            "postal_code": "670051607",
            "telephone_number": "620-442-8700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711 N 4TH ST",
            "city": "ARKANSAS CITY",
            "state": "KS",
            "postal_code": "670051607",
            "telephone_number": "620-442-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEDEKER",
        "first_name": "ROBBEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-30",
        "last_updated": "2016-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "11-04992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arkansas City, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2016; 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.