Individual provider Active NPI

Daniel Andrew Stephens, PT, DPT

  • Physical Therapist
  • Augusta, KS
National Provider Identifier
1356916951
Registry record updated May 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
1503 Washington LN
Augusta, KS 67010-1638
Phone
(316) 775-0700
Fax
(316) 775-0730
NPI assigned
May 25, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X KS Primary

Addresses

Primary practice location

1503 Washington LN
Augusta, KS 67010-1638

Mailing address

1503 Washington LN
Augusta, KS 67010-1638
Phone (316) 775-0700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210701000485 KS Practitioner - Physical Therapist in Private Practice 9133520851 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Phoenix Physical Therapy LLCGroup PAC ID 3779914544, 50 clinicians

Practice addresses (Care Compare)

3223 N Webb Rd
Suite 2
Wichita, KS 67226-8176
Phone (316) 260-3311

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Therapy by Phoenix of Hutchinson LLC CurrentSince Nov 1, 2023 Accepting new patients
Phoenix Physical Therapy LLC CurrentSince Jul 12, 2022 Accepting new patients

Locations

1627 N Lorraine St
Hutchinson, KS 67501
Phone (620) 242-1941

12627 E Central Ave
Ste 308
Wichita, KS 67206

12627 E Central Ave
Wichita, KS 67206

3223 N Webb Rd
Ste 2
Wichita, KS 67226
Phone (316) 609-3040

Organizations & group practices 2

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": "1621900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621900800000",
    "number": "1356916951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1503 WASHINGTON LN",
            "city": "AUGUSTA",
            "state": "KS",
            "postal_code": "670101638",
            "telephone_number": "316-775-0700",
            "fax_number": "316-775-0730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1503 WASHINGTON LN",
            "city": "AUGUSTA",
            "state": "KS",
            "postal_code": "670101638",
            "telephone_number": "316-775-0700",
            "fax_number": "316-775-0730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHENS",
        "first_name": "DANIEL",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-25",
        "last_updated": "2021-05-25",
        "certification_date": "2021-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.