Osteopractic Physical Therapy Clinic of Wichita LLC

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

Legal business name

OSTEOPRACTIC PHYSICAL THERAPY CLINIC OF WICHITA LLC

Practice address

804 S Oliver Ave
Wichita, KS 67218-2329

Phone

(316) 779-4110

Fax

(316) 330-7019

NPI assigned

Mar 11, 2022

Last updated

Feb 4, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Reine Nola, DPTNPI 1053733436

Title

Owner

Phone

(316) 779-4110

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Reine Nola, D.P.T.

  • Physical Therapist
  • Wichita, KS
  • NPI 1053733436
  Medicare reassignment NPD Authorized official
• Bounsavath Nola, MD

  • Internal Medicine Physician
  • Wichita, KS
  • NPI 1356336515
  NPD (past)

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

{
    "created_epoch": "1646956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738627200000",
    "number": "1396493102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 N CYPRESS DR",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672062501",
            "telephone_number": "316-304-1924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 S OLIVER AVE",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672182329",
            "telephone_number": "316-779-4110",
            "fax_number": "316-330-7019"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1431 S Bluffview Dr Ste 116",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672183039",
            "country_code": "US",
            "telephone_number": "316-779-4110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OSTEOPRACTIC PHYSICAL THERAPY CLINIC OF WICHITA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-11",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "status": "A",
        "authorized_official_last_name": "NOLA",
        "authorized_official_first_name": "REINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "316-779-4110",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201357980A",
            "state": "KS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@wichitaphysicaltherapist.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1431 S Bluffview Dr Ste 116",
            "city": "Wichita",
            "state": "KS",
            "country_code": "US",
            "postal_code": "672183039",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Carrie Osgood-Franklin, LMSW
• Elizabeth F Oshakuade, SLP
• Patrick Oshakuade, DO
• Antonio L Osio, M.D.
• Esther N Osornio, LMSW
• Joyce A Oster, MD
• Ernest Theodore Ostermann, MD
• Sonja K Ostrander, LMSW
• Olugbenga O Osunsanmi, DPT
• OT Cab, Inc.

• Orthopedic Physical Therapist in Wichita, KS
• Providers in Wichita, KS by specialty
• Orthopedic Physical Therapist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2025; 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.