Active NPI
Precision Physical Therapy LLC
- Physical Therapy Clinic/Center
- Wichita, KS
National Provider Identifier
1639015597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Legal business name
- PRECISION PHYSICAL THERAPY LLC
- Practice address
- 12938 E 21St St N Ste 120
Wichita, KS 67230-7410 - Phone
- (316) 285-0757
- NPI assigned
- Apr 24, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Blake Overmiller, DPT
- Title
- Physical Therapist
- Phone
- (402) 705-4247
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | Primary |
Addresses
Primary practice location
12938 E 21St St N Ste 120
Wichita, KS 67230-7410
Mailing address
2414 N Peckham St
Wichita, KS 67228-8008
Phone (402) 705-4247
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336715747 | Other | KS | TYPE I NPI |
National Provider Directory
National Provider DirectoryLocations
12938 E 21st St N
Ste 120
Wichita, KS 67230
Phone (316) 285-0757
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Leawood, KS
- NPI 1336715747
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1776988800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1776988800000",
"number": "1639015597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2414 N PECKHAM ST",
"city": "WICHITA",
"state": "KS",
"postal_code": "672288008",
"telephone_number": "402-705-4247"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12938 E 21ST ST N STE 120",
"city": "WICHITA",
"state": "KS",
"postal_code": "672307410",
"telephone_number": "316-285-0757"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRECISION PHYSICAL THERAPY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-04-24",
"last_updated": "2026-04-24",
"certification_date": "2026-04-24",
"status": "A",
"authorized_official_last_name": "OVERMILLER",
"authorized_official_first_name": "BLAKE",
"authorized_official_title_or_position": "PHYSICAL THERAPIST",
"authorized_official_telephone_number": "402-705-4247",
"authorized_official_credential": "DPT"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TYPE I NPI",
"identifier": "1336715747",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
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 Apr 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.