Active NPI
Nicholas R Notario, RPT
- Physical Therapist
- Wichita, KS
National Provider Identifier
1366417768
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1103492
- Practice address
- 545 N Carriage Pkwy
Wichita, KS 67208-4506 - Phone
- (316) 612-4900
- Fax
- (316) 612-4999
- NPI assigned
- Feb 20, 2006
- 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 Therapist | 225100000X | 1103492 | KS | Primary |
Addresses
Primary practice location
545 N Carriage Pkwy
Wichita, KS 67208-4506
Mailing address
545 N Carriage Pkwy
Wichita, KS 67208-4506
Phone (316) 612-4900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
545 N Carriage Pkwy
Wichita, KS 67208-4506
Phone (316) 612-4900
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1103492 | KS | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Innovative Physical Therapy | Physical Therapist | Current | Accepting new patients |
Locations
545 N Carriage Pkwy
Wichita, KS 67208
Phone (316) 612-4900
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.
-
- Physical Therapist
- Wichita, KS
- NPI 1346372588
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219104000000",
"number": "1366417768",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "545 N CARRIAGE PKWY",
"city": "WICHITA",
"state": "KS",
"postal_code": "672084506",
"telephone_number": "316-612-4900",
"fax_number": "316-612-4999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "545 N CARRIAGE PKWY",
"city": "WICHITA",
"state": "KS",
"postal_code": "672084506",
"telephone_number": "316-612-4900",
"fax_number": "316-612-4999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOTARIO",
"first_name": "NICHOLAS",
"middle_name": "R",
"name_prefix": "Mr.",
"credential": "RPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-20",
"last_updated": "2008-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KS",
"license": "1103492",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wichita, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2008; 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.