Abilene Physical Therapy and Sports Rehab PA
Organization Active NPI Physical Therapist · Abilene, KS
NPI 1710097043 · NPPES record last updated Jun 9, 2016
Key facts
- NPI
- 1710097043
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- License
- 11-01669 (KS)
- Legal business name
- ABILENE PHYSICAL THERAPY AND SPORTS REHAB PA
- Practice address
- 103 NW 15TH St
Abilene, KS 67410-1547 - Phone
- (785) 263-3646
- Fax
- (785) 263-3689
- NPI assigned
- Aug 30, 2006
- Organization subpart
- No
Authorized official
- Name
- Janette Froelich
- Title
- Accounts Manager
- Phone
- (785) 263-3646
Practitioners 7
-
Adam Joseph Burns, D.P.T.
-
Tonya S Mills, RPT
-
Kathy Woodard, PT
-
Katelyn Keith, DPT
-
Angela M Hoerner, CPTA
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20041217000429 | KS | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 6507823838 |
Receives reassigned benefits from 5 practitioners Practice locations: Abilene, KS; Chapman, KS |
National Provider Directory
Locations
1030 Marshall Ave
#B
Chapman, KS 67431
Phone (785) 922-4016
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | 11-01669 | KS | Yes |
Addresses
Primary practice location
103 NW 15TH St
Abilene, KS 67410-1547
Mailing address
103 NW 15TH St
Abilene, KS 67410-1547
Phone (785) 263-3646
Other providers in Abilene, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 9, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.