NPIMap

Organization Active NPI

Advanced Medical Associates, P.a.

  • Physical Therapist
  • Wichita, KS
National Provider Identifier
1598097800
Registry record updated May 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1103452 Issued in KS
Legal business name
ADVANCED MEDICAL ASSOCIATES, P.A.
Practice address
8100 E 22ND St N BLDG 2200-4
Tallgrass Executive Office Park
Wichita, KS 67226-2388
Phone
(316) 201-6445
Fax
(316) 684-2225
NPI assigned
Feb 11, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2010

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

Authorized official

Name
Dr. Jeff L Drake, D.C.
Title
President
Phone
(316) 613-2953

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 1103452 KS Primary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 1103536 KS

Addresses

Primary practice location

8100 E 22ND St N BLDG 2200-4
Tallgrass Executive Office Park
Wichita, KS 67226-2388

Mailing address

150 S Rock Rd
Wichita, KS 67207-1152
Phone (316) 613-2953

Other names 1

  • Kansas P.T. & Spine Rehab Doing business as

National Provider Directory

National Provider Directory

Locations

8100 E 22nd St N
Ste 2200-4
Wichita, KS 67226
Phone (316) 201-6445

150 S Rock Rd
Wichita, KS 67207
Phone (316) 613-2953

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1265846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274140800000",
    "number": "1598097800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 S ROCK RD",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672071152",
            "telephone_number": "316-613-2953",
            "fax_number": "316-684-2225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8100 E 22ND ST N BLDG 2200-4",
            "address_2": "TALLGRASS EXECUTIVE OFFICE PARK",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672262388",
            "telephone_number": "316-201-6445",
            "fax_number": "316-684-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED MEDICAL ASSOCIATES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-11",
        "last_updated": "2010-05-18",
        "status": "A",
        "authorized_official_last_name": "DRAKE",
        "authorized_official_first_name": "JEFF",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "316-613-2953",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "1103452",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "1103536",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kansas P.T. & Spine Rehab",
            "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 May 18, 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.