Kailey Duerksen, PT

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

11-07635 Issued in KS

Practice address

715 Medical Center Dr Ste 300
Newton, KS 67114-9056

Phone

(316) 283-7187

NPI assigned

Jun 13, 2024

Last updated

Jun 13, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advanced PT of Newton, LLCGroup PAC ID 3476616848, 17 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Advanced PT of Newton, LLC

  dba Empower Physical Therapy

  • Physical Therapist
  • Newton, KS
  • NPI 1801043369

  Physical Therapy

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1718236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718236800000",
    "number": "1386487825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 OLD MAIN ST",
            "city": "NEWTON",
            "state": "KS",
            "postal_code": "671144327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 MEDICAL CENTER DR STE 300",
            "city": "NEWTON",
            "state": "KS",
            "postal_code": "671149056",
            "telephone_number": "316-283-7187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUERKSEN",
        "first_name": "KAILEY",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-13",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "KS",
            "license": "11-07635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dr. RJ Tippin DDS PA (Tippin Dental Group)
• DRS.Simmonds & Schaller, Optometrists, LLC
• Rojean A Dubois, ARNP
• Terresia Ann Dubois, LSCSW
• Duane D Duerksen, RN
• Wendy Lynne Easter, LMFT - T
• Amy Beth Edwards, CPTA
• Elshami M Elamin, MD
• Lindsey Jean Elder, BSN, RN, CDE
• Austin Samuel Ellis

• Physical Therapy Clinic/Center in Newton, KS
• Providers in Newton, KS by specialty
• Physical Therapy Clinic/Center in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2024; 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.