Active NPI
Devin Wiens
- Physical Therapy Assistant
- McPherson, KS
National Provider Identifier
1356075964
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 14-03887
- Practice address
- 400 W 4TH St
McPherson, KS 67460-2300 - Phone
- (620) 241-4201
- NPI assigned
- Jul 11, 2022
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 14-03887 | KS | Primary |
Addresses
Primary practice location
400 W 4TH St
McPherson, KS 67460-2300
Mailing address
200 W Douglas Ave Ste 250
Wichita, KS 67202-3002
Phone (316) 263-0003
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 |
|---|---|---|---|
| 14-03887 | KS | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1657497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657497600000",
"number": "1356075964",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 W DOUGLAS AVE STE 250",
"city": "WICHITA",
"state": "KS",
"postal_code": "672023002",
"telephone_number": "316-263-0003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 W 4TH ST",
"city": "MCPHERSON",
"state": "KS",
"postal_code": "674602300",
"telephone_number": "620-241-4201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIENS",
"first_name": "DEVIN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-07-11",
"last_updated": "2022-07-11",
"certification_date": "2022-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "KS",
"license": "14-03887",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in McPherson, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.