Bryson Koester, DPT
Individual provider Active NPI Physical Therapist · Wichita, KS
NPI 1689410409 · NPPES record last updated Jul 2, 2024
Key facts
- NPI
- 1689410409
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 1107674 (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
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1107674 | KS | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SLPT, LLC | Physical Therapist | Current |
Accepting new patients |
| Summit Chiropractic | Current |
Accepting new patients | |
| True Physical Therapy, P.a. | Physical Therapist | Current |
Accepting new patients |
| LSCM, LLC | Physical Therapist | Current |
Accepting new patients |
Locations
11036 Oakmont St
Overland Park, KS 66210
Phone (913) 413-0012
10600 Mastin St
#B
Overland Park, KS 66212
Phone (913) 269-3232
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1107674 | KS | Yes |
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
Other providers in Wichita, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 2, 2024. 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.