Southeast Kansas Orthopedic and Sports Physical Therapy, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

24-00361 Issued in KS

Legal business name

SOUTHEAST KANSAS ORTHOPEDIC AND SPORTS PHYSICAL THERAPY, LLC

Practice address

1623 S Main St
Fort Scott, KS 66701-2656

Phone

(620) 223-4555

NPI assigned

Sep 21, 2006

Organization subpart

No

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

Authorized official

Name

William B. Allen, PTNPI 1356452502

Title

President

Phone

(620) 223-4555

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Locations

Practitioners 4

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

• William B Allen, RPT,ATC

  • Physical Therapist
  • Fort Scott, KS
  • NPI 1356452502
  Medicare reassignment Authorized official
• Michael P Baker, MD

  • Otolaryngology/Facial Plastic Surgery Physician
  • Pittsburg, KS
  • NPI 1891883120
  NPD (past)
• Chase R Carpenter, DC

  • Chiropractor
  • Pleasanton, KS
  • NPI 1467558676
  NPD (past)
• Kelly J Seifert, PA

  • Physician Assistant
  • Sioux Falls, SD
  • NPI 1437247764
  NPD (past)

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753315200000",
    "number": "1396844874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14",
            "city": "FORT SCOTT",
            "state": "KS",
            "postal_code": "667010014",
            "telephone_number": "620-223-4555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1623 S MAIN ST",
            "city": "FORT SCOTT",
            "state": "KS",
            "postal_code": "667012656",
            "telephone_number": "620-223-4555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST KANSAS ORTHOPEDIC AND SPORTS PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-24",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "620-223-4555",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "11-02934",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "24-00361",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP",
            "identifier": "115683",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200421170A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Madeline M Simpson, APRN
• Vicki Carlene Sloniker, PMHNP-BC
• Janet Elaine Smith
• Southeast Kansas Mental Health Center
• Southeast Kansas Multi-County Health Dept
• Spine Clinic, LLC
• Shannon Lee Ann Stancer, LAC
• Amanda Stice, APRN
• Diana Kay Stoughton, RN
• Cristobal Tamayo

• Physical Therapist in Fort Scott, KS
• Providers in Fort Scott, KS by specialty
• Physical Therapist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.