Active NPI
Karen E Wilson, P.T.
- Physical Therapist
- Wichita, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11-03155
- Practice address
- 3730 N Ridge Rd
Ste 500
Wichita, KS 67205-1227 - Phone
- (316) 440-4901
- Fax
- (316) 440-4904
- NPI assigned
- Jul 5, 2006
- Sex
- Female
- 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 | 11-03155 | KS | Primary |
Addresses
Primary practice location
3730 N Ridge Rd
Ste 500
Wichita, KS 67205-1227
Mailing address
200 W Douglas
Ste 1040
Wichita, KS 67202-3017
Phone (316) 263-0003
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200307090A | Medicaid | KS |
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
- University of Kansas School of Med (KC/Wich/Sal), 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3460 N Ridge Rd
80 Advanced PT Aquatic Rehab
Wichita, KS 67205-1223
Phone (316) 202-0340
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11-03155 | KS | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced PT LLC | Physical Therapist | Current | Accepting new patients |
| Advanced PT LLC | Physical Therapist | Current | Accepting new patients |
| Preferred PT LLC | Physical Therapist | Past | Accepting new patients |
Locations
3730 N Ridge Rd
Ste 500
Wichita, KS 67205
Phone (316) 440-4901
200 W Douglas Ave
Ste 1040
Wichita, KS 67202
Phone (866) 412-5554
3460 N Ridge Rd
Ste 80
Wichita, KS 67205
Phone (316) 202-0340
6940 W Newell St
Wichita, KS 67212
Phone (316) 440-3731
Organizations & group practices 3
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 1780616789
-
- Physical Therapist
- Leawood, KS
- NPI 1336966852
-
- Physical Therapist
- Kansas City, KS
- NPI 1144251232
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1362441600000",
"number": "1376574665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 W DOUGLAS",
"address_2": "STE 1040",
"city": "WICHITA",
"state": "KS",
"postal_code": "672023017",
"telephone_number": "316-263-0003",
"fax_number": "316-263-1241"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3730 N RIDGE RD",
"address_2": "STE 500",
"city": "WICHITA",
"state": "KS",
"postal_code": "672051227",
"telephone_number": "316-440-4901",
"fax_number": "316-440-4904"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "KAREN",
"middle_name": "E",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-05",
"last_updated": "2013-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KS",
"license": "11-03155",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200307090A",
"state": "KS"
}
],
"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 Mar 5, 2013; 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.