NPIMap

Organization Active NPI

Wellness Strategies LLC

Doing business as Premier Physical Medicine

  • Medical Physician Assistant
  • Wichita, KS
National Provider Identifier
1578847182
Registry record updated Oct 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
15-00952 Issued in KS
Legal business name
WELLNESS STRATEGIES LLC
Doing business as
Premier Physical Medicine
Practice address
6224 East Shadybrook St.
Wichita, KS 67208
Phone
(316) 682-7246
Fax
(316) 683-9500
NPI assigned
Sep 30, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2014

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

Authorized official

Name
Dr. Tanner Hancock, D.C.NPI 1174593719
Title
Owner
Phone
(316) 683-9500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363AM0700X 15-00952 KS Primary

Addresses

Primary practice location

6224 East Shadybrook St.
Wichita, KS 67208

Mailing address

6224 East Shadybrook St.
Wichita, KS 67208
Phone (316) 682-7246

Other names 1

  • Premier Physical Medicine Doing business as

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 4

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": "1317340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414022400000",
    "number": "1578847182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6224 EAST SHADYBROOK ST.",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "67208",
            "telephone_number": "316-682-7246",
            "fax_number": "316-683-9500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6224 EAST SHADYBROOK ST.",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "67208",
            "telephone_number": "316-682-7246",
            "fax_number": "316-683-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS STRATEGIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-30",
        "last_updated": "2014-10-23",
        "status": "A",
        "authorized_official_last_name": "HANCOCK",
        "authorized_official_first_name": "TANNER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "316-683-9500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": "KS",
            "license": "15-00952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Physical Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 23, 2014; 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.