Individual provider Active NPI

Adam Kristek, DPT

  • Physical Therapist
  • Great Bend, KS
National Provider Identifier
1619460029
Registry record updated Jun 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11-05953 Issued in KS
Practice address
1514 K 96 Hwy
Great Bend, KS 67530-3012
Phone
(620) 792-4383
NPI assigned
Jun 11, 2018
Last updated
Jun 11, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2018

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 11-05953 KS Primary

Addresses

Primary practice location

1514 K 96 Hwy
Great Bend, KS 67530-3012

Mailing address

2674 280TH St
Lincolnville, KS 66858-9820
Phone (785) 366-6971

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180621000534 KS Practitioner - Physical Therapist in Private Practice 4082969787 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ukhs Great Bend LLCGroup PAC ID 5597016378, 64 clinicians

Practice addresses (Care Compare)

514 Cleveland St
Great Bend, KS 67530-3562
Phone (620) 792-8833

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11-05953KSMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ukhs Great Bend, LLC Physical Therapist CurrentSince Aug 30, 2021 Accepting new patients

Locations

1514 K 96 Hwy
Great Bend, KS 67530
Phone (620) 792-4383

514 Cleveland St
Great Bend, KS 67530
Phone (620) 659-2890

Organizations & group practices 1

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": "1528675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528675200000",
    "number": "1619460029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2674 280TH ST",
            "city": "LINCOLNVILLE",
            "state": "KS",
            "postal_code": "668589820",
            "telephone_number": "785-366-6971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1514 K 96 HWY",
            "city": "GREAT BEND",
            "state": "KS",
            "postal_code": "675303012",
            "telephone_number": "620-792-4383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRISTEK",
        "first_name": "ADAM",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-11",
        "last_updated": "2018-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "11-05953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Bend, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2018; 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.