Individual provider Active NPI

Kendra L Maresch, C.P.T.A.

  • Physical Therapy Assistant
  • Salina, KS
National Provider Identifier
1356659494
Registry record updated Nov 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
14-017974 Issued in KS
Practice address
521 S Santa Fe Ave Ste a
Salina, KS 67401-4162
Phone
(785) 825-1361
Fax
(785) 823-7077
NPI assigned
Sep 23, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 14-017974 KS Primary

Addresses

Primary practice location

521 S Santa Fe Ave Ste a
Salina, KS 67401-4162

Mailing address

PO Box 168
Salina, KS 67402-0168
Phone (785) 825-1361

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
14-017974KSMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Salina Physical Therapy, LC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1285200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415145600000",
    "number": "1356659494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 168",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "674020168",
            "telephone_number": "785-825-1361",
            "fax_number": "785-823-7077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 S SANTA FE AVE STE A",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "674014162",
            "telephone_number": "785-825-1361",
            "fax_number": "785-823-7077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARESCH",
        "first_name": "KENDRA",
        "middle_name": "L",
        "credential": "C.P.T.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-23",
        "last_updated": "2014-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "KS",
            "license": "14-017974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salina, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 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.

Verify at the official NPI Registry.