Individual provider Active NPI

Carl M Patrnchak, PT

  • Physical Therapist
  • Lyons, KS
National Provider Identifier
1639356744
Registry record updated Feb 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11-07313 Issued in KS
Practice address
400 W Main St
Lyons, KS 67554-1819
Phone
(785) 534-2279
NPI assigned
Jan 31, 2008
Last updated
Feb 27, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 0700002325 IL
Physical Therapist 225100000X 11-07313 KS Primary

Addresses

Primary practice location

400 W Main St
Lyons, KS 67554-1819

Mailing address

203 Cochise TRL
Hutchinson, KS 67502-4414
Phone (815) 979-5295

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240909002773 KS Practitioner - Physical Therapist in Private Practice 0547344046 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ludwig Family Chiropractic LLCGroup PAC ID 5890117261, 3 clinicians

Practice addresses (Care Compare)

400 W Main St
Lyons, KS 67554-1819
Phone (620) 257-2040

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0700002325ILMDPhysical Therapist
11-07313KSMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ludwig Family Chiropractic LLC CurrentSince Aug 25, 2024 Accepting new patients

Locations

400 W Main St
Lyons, KS 67554
Phone (620) 257-2040

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": "1201737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708992000000",
    "number": "1639356744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 COCHISE TRL",
            "city": "HUTCHINSON",
            "state": "KS",
            "postal_code": "675024414",
            "telephone_number": "815-979-5295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W MAIN ST",
            "city": "LYONS",
            "state": "KS",
            "postal_code": "675541819",
            "telephone_number": "785-534-2279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATRNCHAK",
        "first_name": "CARL",
        "middle_name": "M",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-31",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "0700002325",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "11-07313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lyons, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2024; 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.