Terri Bockhaus, CPTA
Individual provider Active NPI Physical Therapy Assistant · Goessel, KS
NPI 1679779136 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1679779136
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 14-01480 (KS)
- Practice address
- 408 E. Main St.
Goessel, KS 67053 - Phone
- (620) 367-2291
- NPI assigned
- Jun 22, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14-01480 | KS | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 14-01480 | KS | Yes |
Addresses
Primary practice location
408 E. Main St.
Goessel, KS 67053
Mailing address
625 N Meridian Rd
Newton, KS 67114-5106
Phone (316) 283-6701
Other providers in Goessel, KS
All providers in Goessel, KS · Physical Therapy Assistant in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.