Active NPI
Briana Renae Hull, PTA
- Physical Therapy Assistant
- Wichita, KS
National Provider Identifier
1558905125
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 14-03528
- Practice address
- 545 N Carriage Pkwy
Wichita, KS 67208-4506 - Phone
- (316) 612-4900
- Fax
- (316) 612-4999
- NPI assigned
- Nov 6, 2019
- Sex
- Female
- 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 Therapy Assistant | 225200000X | 14-03528 | KS | Primary |
Addresses
Primary practice location
545 N Carriage Pkwy
Wichita, KS 67208-4506
Mailing address
545 N Carriage Pkwy
Wichita, KS 67208-4506
Phone (316) 612-4900
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | iptkansas.com | Direct |
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 |
|---|---|---|---|
| 14-03528 | KS | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Innovative Physical Therapy | Current | Accepting new patients |
Locations
545 N Carriage Pkwy
Wichita, KS 67208
Phone (316) 612-4900
Organizations & group practices 1
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.
-
- Physical Therapist
- Wichita, KS
- NPI 1346372588
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572998400000",
"number": "1558905125",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "545 N CARRIAGE PKWY",
"city": "WICHITA",
"state": "KS",
"postal_code": "672084506",
"telephone_number": "316-612-4900",
"fax_number": "316-612-4999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "545 N CARRIAGE PKWY",
"city": "WICHITA",
"state": "KS",
"postal_code": "672084506",
"telephone_number": "316-612-4900",
"fax_number": "316-612-4999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HULL",
"first_name": "BRIANA",
"middle_name": "RENAE",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-11-06",
"last_updated": "2019-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "KS",
"license": "14-03528",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "iptkansas.com",
"affiliation": "N",
"endpointDescription": "Physical Therapy",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "545 N Carriage Pkwy",
"city": "Wichita",
"state": "KS",
"country_code": "US",
"postal_code": "672084506",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
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 Nov 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.