Aaron John Liudahl, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

11-01763 Issued in KS

Practice address

629 S Plummer Ave
Chanute, KS 66720-1928

Phone

(620) 432-5378

NPI assigned

May 21, 2007

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Western Kansas Rehabilitation Services PA

  • Physical Therapy Clinic/Center
  • Garden City, KS
  • NPI 1962746826

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1417165366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2231 W MAIN ST",
            "city": "CHANUTE",
            "state": "KS",
            "postal_code": "667205209",
            "telephone_number": "620-431-6709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "629 S PLUMMER AVE",
            "city": "CHANUTE",
            "state": "KS",
            "postal_code": "667201928",
            "telephone_number": "620-432-5378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIUDAHL",
        "first_name": "AARON",
        "middle_name": "JOHN",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "11-01763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jill Marie Leighter, OD
• Jessica Leis
• Matthew Leroy, MD
• Lightnig Greek Investment Group, Inc
• Tara Janae Litzel, OT/L, COTA/L
• Troy Lucke, D.C.
• Stephanie Aaliyah Manuz
• Ashley Marple, LMSW
• Martin R Funk OD PA
• Hayden Martinez

• Physical Therapist in Chanute, KS
• Providers in Chanute, 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 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.