Active NPI
Elisha A Katz, OT
- Occupational Therapist
- Hutchinson, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 17-01988
- Practice address
- 2803 N Lorraine St Ste F
Hutchinson, KS 67502 - Phone
- (620) 662-3111
- Fax
- (620) 662-3122
- NPI assigned
- Dec 30, 2005
- Last updated
- Dec 18, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 17-01988 | KS | Primary |
| Hand Occupational Therapist | 225XH1200X | 17-01988 | KS |
Addresses
Primary practice location
2803 N Lorraine St Ste F
Hutchinson, KS 67502
Mailing address
200 W Douglas Ave Ste 1040
Wichita, KS 67202-3017
Phone (316) 263-0003
Other practice location 1
7550 West Village Circle
Suite 1
Wichita, KS 67205
Phone (316) 838-2020 ext. 343
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3730 N Ridge Rd
Suite 500
Wichita, KS 67205-1233
Phone (316) 440-4901
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17-01988 | KS | MD | Hand Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced PT LLC | Current | Accepting new patients | |
| Advanced PT LLC | Current | Accepting new patients | |
| Advanced PT, LLC | Past | Accepting new patients |
Locations
2803 N Lorraine St
Ste F
Hutchinson, KS 67502
Phone (620) 662-3111
400 W 4th St
McPherson, KS 67460
Phone (620) 241-4201
315 W Washington Ave
Sterling, KS 67579
Phone (620) 204-6116
200 W Douglas Ave
Ste 1040
Wichita, KS 67202
Phone (866) 412-5554
2243 S Meridian Ave
Ste 105
Wichita, KS 67213
Phone (316) 942-5448
3730 N Ridge Rd
Ste 500
Wichita, KS 67205
Phone (316) 440-4901
4515 E Central Ave
Ste A
Wichita, KS 67208
Phone (316) 260-6869
6940 W Newell St
Wichita, KS 67212
Phone (316) 440-3731
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 Advanced PT Northeast
- Physical Therapy Clinic/Center
- Wichita, KS
- NPI 1043805492
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135900800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1545091200000",
"number": "1689651564",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 W DOUGLAS AVE STE 1040",
"city": "WICHITA",
"state": "KS",
"postal_code": "672023017",
"telephone_number": "316-263-0003",
"fax_number": "316-263-1241"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2803 N LORRAINE ST STE F",
"city": "HUTCHINSON",
"state": "KS",
"postal_code": "67502",
"telephone_number": "620-662-3111",
"fax_number": "620-662-3122"
}
],
"practiceLocations": [
{
"address_1": "7550 West Village Circle",
"address_2": "Suite 1",
"address_purpose": "LOCATION",
"city": "Wichita",
"state": "KS",
"postal_code": "67205",
"country_code": "US",
"telephone_number": "316-838-2020 x343",
"fax_number": "316-838-2020",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KATZ",
"first_name": "ELISHA",
"middle_name": "A",
"name_prefix": "Mrs.",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-30",
"last_updated": "2018-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "KS",
"license": "17-01988",
"primary": true
},
{
"code": "225XH1200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Hand",
"state": "KS",
"license": "17-01988",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hutchinson, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2018; 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.