NPIMap

Organization Active NPI

Southwind Physical Therapy Inc.

  • Physical Therapist
  • Salina, KS
National Provider Identifier
1689794661
Registry record updated Jul 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1102123 Issued in KS
Legal business name
SOUTHWIND PHYSICAL THERAPY INC.
Practice address
631 E. Crawford St
Suite 220
Salina, KS 67401-5116
Phone
(785) 825-2323
Fax
(785) 825-2325
NPI assigned
Mar 31, 2007
Last updated
Jul 6, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2012

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

Authorized official

Name
Mr. David Wesley Sanderson, PTNPI 1306948096
Title
President
Phone
(785) 825-2323

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1103295 KS
Physical Therapist 225100000X 1102123 KS Primary

Addresses

Primary practice location

631 E. Crawford St
Suite 220
Salina, KS 67401-5116

Mailing address

631 E. Crawford
Suite 220
Salina, KS 67401-5116
Phone (785) 825-2323

Other identifiers 2

IdentifierTypeStateIssuer
115591OtherKSKANSAS BCBS
DA 3438OtherKSRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090615000290 KS Part B Supplier - Clinic/Group Practice 1052461985 Receives reassigned benefits from 4 practitioners
Practice locations: Salina, KS

National Provider Directory

National Provider Directory

Locations

122 S Santa Fe Ave
Salina, KS 67401
Phone (785) 825-2323

631 E Crawford St
Ste 220
Salina, KS 67401
Phone (785) 825-2323

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341532800000",
    "number": "1689794661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "631 E. CRAWFORD",
            "address_2": "SUITE 220",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "674015116",
            "telephone_number": "785-825-2323",
            "fax_number": "785-825-2325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 E. CRAWFORD ST",
            "address_2": "SUITE 220",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "674015116",
            "telephone_number": "785-825-2323",
            "fax_number": "785-825-2325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWIND PHYSICAL THERAPY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-31",
        "last_updated": "2012-07-06",
        "status": "A",
        "authorized_official_last_name": "SANDERSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "WESLEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "785-825-2323",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "1103295",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "1102123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KANSAS BCBS",
            "identifier": "115591",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DA 3438",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salina, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.