Kyrsa Inthavongsay

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

11-07720 Issued in KS

Practice address

2243 S Meridian Ave Ste 105
Wichita, KS 67213-1911

Phone

(316) 942-5448

NPI assigned

Sep 9, 2024

Sex

Female

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

Enrolled in KS

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

University of Kansas School of Med (KC/Wich/Sal), 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advanced PT LLCGroup PAC ID 3678524709, 84 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Advanced PT LLC

  • Physical Therapist
  • Wichita, KS
  • NPI 1780616789

  KS, Physical Therapist

  Medicare reassignment Care Compare group NPD
• Advanced PT LLC

  • Physical Therapist
  • Kansas City, KS
  • NPI 1144251232
  NPD
• Advanced PT LLC

  • Physical Therapist
  • Independence, KS
  • NPI 1336320340
  NPD

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

{
    "created_epoch": "1725840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726185600000",
    "number": "1487480430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 LYNDON FARM CT STE 300",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402235005",
            "telephone_number": "726-202-3039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2243 S MERIDIAN AVE STE 105",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672131911",
            "telephone_number": "316-942-5448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INTHAVONGSAY",
        "first_name": "KYRSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-09",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "11-07720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Intercede Counseling LLC
• Interim Health Care of Wichita Inc
• Interim Health Care of Wichita Inc
• Interim Health Care of Wichita Inc
• Internal Medicine South
• Lacey Julia-Ann Ireton, RD, LD
• Amy Irsik, T-LAC
• Cody Irvin
• Chester Irving
• Hattie L Irving

• All providers in Wichita, KS
• Physical Therapist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2024; 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.