Organization Active NPI

Wilkens PT, Inc.

  • Physical Therapy Clinic/Center
  • Scott City, KS
National Provider Identifier
1366924201
Registry record updated Jun 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
11-04515 Issued in KS
Legal business name
WILKENS PT, INC.
Practice address
1420 S Main St
Scott City, KS 67871-1948
Phone
(620) 397-1901
NPI assigned
Sep 6, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2024

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

Authorized official

Name
Kenneth (KJ) J Wilkens, DPT
Title
Owner
Phone
(620) 909-5043

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 11-04515 KS Primary

Addresses

Primary practice location

1420 S Main St
Scott City, KS 67871-1948

Mailing address

1420 S Main
Scott City, KS 67871
Phone (620) 909-5043

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190117002113 KS Part B Supplier - Physical/Occupational Therapy Group in Private Practice 2961748561 Receives reassigned benefits from 2 practitioners
Practice locations: Scott City, KS

National Provider Directory

National Provider Directory

Locations

1420 S Main St
Scott City, KS 67871
Phone (620) 397-1901

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1536192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717372800000",
    "number": "1366924201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 S MAIN",
            "city": "SCOTT CITY",
            "state": "KS",
            "postal_code": "67871",
            "telephone_number": "620-909-5043",
            "fax_number": "620-909-5006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 S MAIN ST",
            "city": "SCOTT CITY",
            "state": "KS",
            "postal_code": "678711948",
            "telephone_number": "620-397-1901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILKENS PT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-06",
        "last_updated": "2024-06-03",
        "status": "A",
        "authorized_official_last_name": "WILKENS",
        "authorized_official_first_name": "KENNETH (KJ)",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "620-909-5043",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "KS",
            "license": "11-04515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scott City, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.