NPIMap

Organization Active NPI

Harter Physical Therapy, LLC

  • Physical Therapist
  • Goddard, KS
National Provider Identifier
1699195446
Registry record updated Oct 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1104495 Issued in KS
Legal business name
HARTER PHYSICAL THERAPY, LLC
Practice address
19931 W Kellogg Dr
Goddard, KS 67052-8863
Phone
(785) 741-3247
NPI assigned
Apr 20, 2014
Last updated
Oct 29, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2020

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

Authorized official

Name
Dr. Gabe Harter, DPTNPI 1508283292
Title
Doctor of Physical Therapy
Phone
(316) 550-6132

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 Therapist 225100000X 1104495 KS Primary

Addresses

Primary practice location

19931 W Kellogg Dr
Goddard, KS 67052-8863

Mailing address

19931 W. Kellogg Dr.
Suite a
Goddard, KS 67052-0725
Phone (316) 550-6132

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20140814002240 KS Part B Supplier - Physical/Occupational Therapy Group in Private Practice 1456578426 Receives reassigned benefits from 17 practitioners
Practice locations: Clearwater, KS; Goddard, KS; Cheney, KS
O20210202000755 KS DME Supplier - Independently-Practicing Physical Therapist 1456578426 Practice locations: Goddard, KS

National Provider Directory

National Provider Directory

Locations

501 E Ross St
Clearwater, KS 67026
Phone (316) 550-6132

19931 W Kellogg Dr
Goddard, KS 67052
Phone (316) 722-6717

19931 W Kellogg Dr
Unit A
Goddard, KS 67052
Phone (316) 351-8426

Practitioners & affiliated clinicians

Practitioners 19

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 19

NPI Registry JSON

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

{
    "created_epoch": "1397952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603929600000",
    "number": "1699195446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19931 W. KELLOGG DR.",
            "address_2": "SUITE A",
            "city": "GODDARD",
            "state": "KS",
            "postal_code": "670520725",
            "telephone_number": "316-550-6132",
            "fax_number": "316-550-6215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19931 W KELLOGG DR",
            "city": "GODDARD",
            "state": "KS",
            "postal_code": "670528863",
            "telephone_number": "785-741-3247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARTER PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-20",
        "last_updated": "2020-10-29",
        "certification_date": "2020-10-29",
        "status": "A",
        "authorized_official_last_name": "HARTER",
        "authorized_official_first_name": "GABE",
        "authorized_official_title_or_position": "DOCTOR OF PHYSICAL THERAPY",
        "authorized_official_telephone_number": "316-550-6132",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "1104495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goddard, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2020; 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.