Individual provider Active NPI

Kirsten L Godfrey, DPT

  • Physical Therapist
  • Wichita, KS
National Provider Identifier
1700552148
Registry record updated Aug 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1107139 Issued in KS
Practice address
2243 S Meridian Ave Ste 105
Wichita, KS 67213-1911
Phone
(316) 942-5448
NPI assigned
Aug 17, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PTL.0017849 CO
Physical Therapist 225100000X 1107139 KS Primary

Addresses

Primary practice location

2243 S Meridian Ave Ste 105
Wichita, KS 67213-1911

Mailing address

200 W Douglas Ave Ste 250
Wichita, KS 67202-3002
Phone (316) 263-0003

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220913001581 KS Practitioner - Physical Therapist in Private Practice 8426454208 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced PT LLCGroup PAC ID 3678524709, 84 clinicians

Practice addresses (Care Compare)

2243 S Meridian Ave
Suite 105
Wichita, KS 67213-1911
Phone (316) 942-5448

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1107139KSMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced PT, LLC CurrentSince Aug 29, 2022 Accepting new patients
Advanced PT LLC Physical Therapist CurrentSince Aug 29, 2022 Accepting new patients
Advanced PT LLC Physical Therapist Current Accepting new patients
Southern Colorado Health & Rehab Physical Therapist PastSince Aug 1, 2021 Accepting new patients

Locations

260 N Main St
Bldg 100
Haysville, KS 67060
Phone (316) 524-3738

3730 N Ridge Rd
Ste 500
Wichita, KS 67205
Phone (316) 440-4901

200 W Douglas Ave
Ste 250
Wichita, KS 67202
Phone (316) 265-9922

2243 S Meridian Ave
Ste 105
Wichita, KS 67213
Phone (316) 942-5448

1650 Lyndon Farm Ct
Ste 300
Louisville, KY 40223
Phone (726) 202-3039

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1629158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754956800000",
    "number": "1700552148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W DOUGLAS AVE STE 250",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672023002",
            "telephone_number": "316-263-0003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2243 S MERIDIAN AVE STE 105",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672131911",
            "telephone_number": "316-942-5448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODFREY",
        "first_name": "KIRSTEN",
        "middle_name": "L",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-17",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0017849",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "1107139",
            "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 Aug 12, 2025; 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.

Verify at the official NPI Registry.