Individual provider Active NPI

Donna Jean Patry, CPTA

  • Physical Therapy Assistant
  • Salina, KS
National Provider Identifier
1568770865
Registry record updated Sep 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
14-00362 Issued in KS
Practice address
2825 Resort Dr
Salina, KS 67401-9535
Phone
(785) 826-9583
Fax
(785) 826-9583
NPI assigned
Sep 21, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 21, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 14-00362 KS Primary

Addresses

Primary practice location

2825 Resort Dr
Salina, KS 67401-9535

Mailing address

2825 Resort Dr
Salina, KS 67401-9535
Phone (785) 826-9583

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

LicenseStateTypeSpecialty
14-00362KSMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1285027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285027200000",
    "number": "1568770865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2825 RESORT DR",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "674019535",
            "telephone_number": "785-826-9583",
            "fax_number": "785-826-9583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2825 RESORT DR",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "674019535",
            "telephone_number": "785-826-9583",
            "fax_number": "785-826-9583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATRY",
        "first_name": "DONNA",
        "middle_name": "JEAN",
        "name_prefix": "Mr.",
        "credential": "CPTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-21",
        "last_updated": "2010-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "KS",
            "license": "14-00362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salina, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2010; 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.