Active NPI
Ryan Wells Mentzer
- Physical Therapist
- Wichita, KS
National Provider Identifier
1427627488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- T-05504
- Practice address
- 929 N Saint Francis Ave
Wichita, KS 67214-3821 - Phone
- (316) 268-5000
- NPI assigned
- Jun 23, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | T-05504 | KS | Primary |
Addresses
Primary practice location
929 N Saint Francis Ave
Wichita, KS 67214-3821
Mailing address
1010 N Ridge Rd Apt 901
Wichita, KS 67212-6066
Phone (620) 625-5034
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T-05504 | KS | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624406400000",
"number": "1427627488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1010 N RIDGE RD APT 901",
"city": "WICHITA",
"state": "KS",
"postal_code": "672126066",
"telephone_number": "620-625-5034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "929 N SAINT FRANCIS AVE",
"city": "WICHITA",
"state": "KS",
"postal_code": "672143821",
"telephone_number": "316-268-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENTZER",
"first_name": "RYAN",
"middle_name": "WELLS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-06-23",
"last_updated": "2021-06-23",
"certification_date": "2021-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KS",
"license": "T-05504",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wichita, KS
- Mental Health Association of South Central Kansas
- Mental Health Medication Services, P.a.
- Mental Health Specialty Group KS, P.a.
- Mental Health Wichita LLC
- Carolyn Elizabeth Mentel, RD, LD
- Joseph Meouchy, MD
- Merapy, LLC
- Abby Marie Mercado, A.P.R.N.
- Theresa R Merck, RPT
- Mercy Home Healthcare Agency Corp
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.