NPIMap

Organization Active NPI

Cerebral Palsy Research Foundation of Kansas, Inc

  • Non-emergency Medical Transport (VAN)
  • Wichita, KS
National Provider Identifier
1568507127
Registry record updated Sep 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
CEREBRAL PALSY RESEARCH FOUNDATION OF KANSAS, INC
Practice address
5111 E 21St St N
Wichita, KS 67208-1606
Phone
(316) 688-1888
Fax
(316) 651-5219
NPI assigned
Feb 21, 2007
Last updated
Sep 27, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2018

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

Authorized official

Name
Marla Brockmeyer
Title
Cfo
Phone
(316) 688-1888

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Home Health Agency 251E00000X
Adult Day Care Clinic/Center 261QA0600X
Customized Equipment (DME) 332BC3200X
Non-emergency Medical Transport (VAN) 343900000X Primary
Personal Care Attendant 3747P1801X
Physical Therapist 225100000X
Occupational Therapist 225X00000X

Addresses

Primary practice location

5111 E 21St St N
Wichita, KS 67208-1606

Mailing address

5111 E 21St St N
Wichita, KS 67208-1606
Phone (316) 688-1888

Other identifiers 5

IdentifierTypeStateIssuer
004947OtherKSCOMMON PAY NUMBER
100028820AMedicaidKS
100008150DMedicaidKS
100008150AMedicaidKS
100008150BMedicaidKS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140610001772 KS Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 9032333299 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Wichita, KS

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538006400000",
    "number": "1568507127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5111 E 21ST ST N",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672081606",
            "telephone_number": "316-688-1888",
            "fax_number": "316-651-5219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5111 E 21ST ST N",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672081606",
            "telephone_number": "316-688-1888",
            "fax_number": "316-651-5219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEREBRAL PALSY RESEARCH FOUNDATION OF KANSAS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2018-09-27",
        "status": "A",
        "authorized_official_last_name": "BROCKMEYER",
        "authorized_official_first_name": "MARLA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "316-688-1888"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMON PAY NUMBER",
            "identifier": "004947",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100028820A",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100008150D",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100008150A",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100008150B",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "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 Sep 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.