Active NPI
Wilkens PT, Inc.
- Physical Therapy Clinic/Center
- Scott City, KS
National Provider Identifier
1366924201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- 11-04515
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 DirectoryLocations
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.