Individual provider Active NPI

Abbey Clark, DPT

  • Physical Therapist
  • Manhattan, KS
National Provider Identifier
1619358629
Registry record updated Jun 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11-05106 Issued in KS
Practice address
315 S Seth Child Rd
Manhattan, KS 66502-3003
Phone
(785) 587-4235
Fax
(785) 587-4298
NPI assigned
Jun 16, 2015
Last updated
Jun 16, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 11-05106 KS Primary

Addresses

Primary practice location

315 S Seth Child Rd
Manhattan, KS 66502-3003

Mailing address

315 S Seth Child Rd
Manhattan, KS 66502-3003

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220808000642 KS Practitioner - Physical Therapist in Private Practice 6002298049 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced PT LLCGroup PAC ID 3678524709, 84 clinicians

Practice addresses (Care Compare)

513 E 16TH St
Advanced PT Wellington
Wellington, KS 67152-2802
Phone (620) 968-3134

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced PT LLC Physical Therapist CurrentSince Aug 8, 2022 Accepting new patients
Advanced PT LLC Physical Therapist Current Accepting new patients
Advanced PT, LLC Physical Therapist CurrentSince Aug 8, 2022 Accepting new patients

Locations

513 E 16th St
Wellington, KS 67152
Phone (620) 968-3134

3730 N Ridge Rd
Ste 500
Wichita, KS 67205
Phone (316) 440-4901

1309 E 19th Ave
Winfield, KS 67156
Phone (620) 229-2264

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1434412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434412800000",
    "number": "1619358629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 S SETH CHILD RD",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665023003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 S SETH CHILD RD",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665023003",
            "telephone_number": "785-587-4235",
            "fax_number": "785-587-4298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "ABBEY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-16",
        "last_updated": "2015-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "11-05106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manhattan, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.