Organization Active NPI

Premier Physical Therapy, PA

  • Physical Therapy Clinic/Center
  • Wichita, KS
National Provider Identifier
1699005645
Registry record updated Jan 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
1102091 Issued in KS
Legal business name
PREMIER PHYSICAL THERAPY, PA
Practice address
8541 W 21St St N
Wichita, KS 67205-1753
Phone
(316) 613-3068
Fax
(316) 613-3774
NPI assigned
Jan 13, 2010
Last updated
Jan 13, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2010

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

Authorized official

Name
Jay Franz, PTNPI 1023013463
Title
Owner/Clinical Manager
Phone
(316) 613-3068

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 1102091 KS Primary

Addresses

Primary practice location

8541 W 21St St N
Wichita, KS 67205-1753

Mailing address

8541 W 21St St N
Wichita, KS 67205-1753
Phone (316) 613-3068

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161028000783 KS Part B Supplier - Physical/Occupational Therapy Group in Private Practice 5193854503 Receives reassigned benefits from 7 practitioners
Practice locations: Valley Center, KS; Wichita, KS

National Provider Directory

National Provider Directory

Locations

1220 S Meridian Ave
Ste A
Valley Center, KS 67147
Phone (316) 613-3068

1220 S Meridian Ave
Ste E
Valley Center, KS 67147
Phone (316) 755-9797

7340 W 21st St N
Ste 100
Wichita, KS 67205
Phone (316) 613-3068

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1263340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263340800000",
    "number": "1699005645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8541 W 21ST ST N",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672051753",
            "telephone_number": "316-613-3068",
            "fax_number": "316-613-3774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8541 W 21ST ST N",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672051753",
            "telephone_number": "316-613-3068",
            "fax_number": "316-613-3774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER PHYSICAL THERAPY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-13",
        "last_updated": "2010-01-13",
        "status": "A",
        "authorized_official_last_name": "FRANZ",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "OWNER/CLINICAL MANAGER",
        "authorized_official_telephone_number": "316-613-3068",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "KS",
            "license": "1102091",
            "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 Jan 13, 2010; 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.