Active NPI
Katherine Ruth Wadsworth, PT, DPT
- Physical Therapist
- Wichita, KS
National Provider Identifier
1689049819
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11-05072
- Practice address
- 10333 E 21St St N
Suite #406
Wichita, KS 67206-3543 - Phone
- (316) 630-9944
- NPI assigned
- Dec 14, 2015
- Last updated
- Dec 14, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 11-05072 | KS | Primary |
Addresses
Primary practice location
10333 E 21St St N
Suite #406
Wichita, KS 67206-3543
Mailing address
9040 W Westlawn St
Apartment 803
Wichita, KS 67212-5320
Phone (620) 664-7142
Other names 1
- Katherine Ruth Rhaesa
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12 S Lakeview CT
Goddard, KS 67052-9228
Phone (316) 252-0445
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11-05072 | KS | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Parkinsons Connect | Physical Therapist | Current | Accepting new patients |
| Parkinson Consulting and Rehab | Physical Therapist | Current | Accepting new patients |
| Palmer Physical Therapy for Women, Inc. | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 3
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.
-
dba Parkinson Connect
- Occupational Medicine Clinic/Center
- Goddard, KS
- NPI 1851981922
Physical Therapist
-
- Physical Therapy Clinic/Center
- Wichita, KS
- NPI 1205945888
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1450051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1450051200000",
"number": "1689049819",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9040 W WESTLAWN ST",
"address_2": "APARTMENT 803",
"city": "WICHITA",
"state": "KS",
"postal_code": "672125320",
"telephone_number": "620-664-7142"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10333 E 21ST ST N",
"address_2": "SUITE #406",
"city": "WICHITA",
"state": "KS",
"postal_code": "672063543",
"telephone_number": "316-630-9944"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WADSWORTH",
"first_name": "KATHERINE",
"middle_name": "RUTH",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-12-14",
"last_updated": "2015-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KS",
"license": "11-05072",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KATHERINE",
"last_name": "RHAESA",
"middle_name": "RUTH",
"code": "1",
"type": "Former Name"
}
]
}
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 Dec 14, 2015; 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.