Individual provider Active NPI

Bryson Koester, DPT

  • Physical Therapist
  • Wichita, KS
National Provider Identifier
1689410409
Registry record updated Jul 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1107674 Issued in KS
Practice address
1819 N Greenwich Rd Ste a
Wichita, KS 67206-3103
Phone
(316) 260-8239
Fax
(316) 462-5767
NPI assigned
Jul 2, 2024
Last updated
Jul 2, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1107674 KS Primary

Addresses

Primary practice location

1819 N Greenwich Rd Ste a
Wichita, KS 67206-3103

Mailing address

1819 N Greenwich Rd Ste a
Wichita, KS 67206-3103
Phone (316) 260-8239

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1107674KSMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
SLPT, LLC Physical Therapist CurrentSince Jan 20, 2025 Accepting new patients
Summit Chiropractic CurrentSince Jul 1, 2024 Accepting new patients
LSCM, LLC Physical Therapist CurrentSince Jan 20, 2025 Accepting new patients
True Physical Therapy, P.a. Physical Therapist CurrentSince Jul 1, 2024 Accepting new patients

Locations

10600 Mastin St
#B
Overland Park, KS 66212
Phone (913) 269-3232

11036 Oakmont St
Overland Park, KS 66210
Phone (913) 413-0012

15100 Metcalf Ave
Ste 102
Stanley, KS 66223
Phone (913) 681-0606

1819 N Greenwich Rd
Ste A
Wichita, KS 67206
Phone (316) 260-8239

Organizations & group practices 4

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": "1719878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719878400000",
    "number": "1689410409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1819 N GREENWICH RD STE A",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672063103",
            "telephone_number": "316-260-8239",
            "fax_number": "316-462-5767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1819 N GREENWICH RD STE A",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672063103",
            "telephone_number": "316-260-8239",
            "fax_number": "316-462-5767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOESTER",
        "first_name": "BRYSON",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-07-02",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "1107674",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 2, 2024; 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.