Advanced Wellness and Rehab, LLC.

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

License

01-04547 Issued in KS

Legal business name

ADVANCED WELLNESS AND REHAB, LLC.

Practice address

2020N Tyler Rd
Suite 112
Wichita, KS 67212-4905

Phone

(316) 942-5335

Fax

(316) 942-5442

NPI assigned

Jan 2, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Andrew Jon Roy, D.C.

Title

Owner

Phone

(316) 942-5335

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Marion Aubrey Watson, P.T.

  • Physical Therapist
  • Wichita, KS
  • NPI 1952579823
  NPD (past)

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

{
    "created_epoch": "1199232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472774400000",
    "number": "1679758239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 N TYLER RD",
            "address_2": "SUITE 112",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672124905",
            "telephone_number": "316-942-5335",
            "fax_number": "316-942-5442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020N TYLER RD",
            "address_2": "SUITE 112",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672124905",
            "telephone_number": "316-942-5335",
            "fax_number": "316-942-5442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED WELLNESS AND REHAB, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-02",
        "last_updated": "2016-09-02",
        "status": "A",
        "authorized_official_last_name": "ROY",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "JON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "316-942-5335",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "KS",
            "license": "01-04547",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "660205",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• All providers in Wichita, KS
• Rehabilitation Chiropractor in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2016; 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.