Individual provider Active NPI

Julie Ann Waltemath, PT

  • Physical Therapist
  • Wichita, KS
National Provider Identifier
1417119181
Registry record updated May 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11-03865 Issued in KS
Practice address
11120 E 26TH St N
Suite #1300
Wichita, KS 67226-4548
Phone
(316) 858-1177
Fax
(316) 858-1178
NPI assigned
Jun 25, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 11-03865 KS Primary

Addresses

Primary practice location

11120 E 26TH St N
Suite #1300
Wichita, KS 67226-4548

Mailing address

11120 E 26TH St N
Suite #1300
Wichita, KS 67226-4548
Phone (316) 858-1177

Other names 1

  • Julie Ann Nelson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080819000430 KS Practitioner - Physical Therapist in Private Practice 2769557206 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physical Therapy Services at Cypress LLCGroup PAC ID 5294702122, 6 clinicians

Practice addresses (Care Compare)

11120 E 26TH St N
1300 Core Physical Therapy LLC
Wichita, KS 67226-4603
Phone (316) 858-1177

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11-03865KSMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Therapy Services at Cypress LLC Physical Therapist CurrentSince Jul 1, 2008 Accepting new patients
Physical Therapy Services at the Waterfront Physical Therapist Past Accepting new patients

Locations

11120 E 26th St N
Ste 1300
Wichita, KS 67226
Phone (316) 858-1177

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1214352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494374400000",
    "number": "1417119181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11120 E 26TH ST N",
            "address_2": "SUITE #1300",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672264548",
            "telephone_number": "316-858-1177",
            "fax_number": "316-858-1178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11120 E 26TH ST N",
            "address_2": "SUITE #1300",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672264548",
            "telephone_number": "316-858-1177",
            "fax_number": "316-858-1178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTEMATH",
        "first_name": "JULIE",
        "middle_name": "ANN",
        "name_prefix": "Miss",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-25",
        "last_updated": "2017-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "11-03865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIE",
            "last_name": "NELSON",
            "middle_name": "ANN",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 May 10, 2017; 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.