Northwest Kansas Physical Therapy, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

LLC NO. 3598190 Issued in KS

Legal business name

NORTHWEST KANSAS PHYSICAL THERAPY, LLC

Practice address

421 Main St
Stockton, KS 67669-1929

Phone

(785) 415-2378

Fax

(785) 415-2379

NPI assigned

Aug 2, 2005

Last updated

Apr 4, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Dawn Larae Stephens, PTNPI 1417953738

Title

Physical Therapist/Owner

Phone

(785) 415-2378

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Locations

Practitioners 5

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.

• Dawn Larae Stephens, PT

  • Physical Therapist
  • Colby, KS
  • NPI 1417953738
  Medicare reassignment NPD Authorized official
• Melinda Sue Cheney, PTA

  • Physical Therapy Assistant
  • Colby, KS
  • NPI 1366751075
  NPD (past)
• Sara L. Hasty, PT

  • Physical Therapist
  • Colby, KS
  • NPI 1215935911
  NPD (past)
• Jacquelynn Marie Helus, PTA

  • Physical Therapy Assistant
  • Colby, KS
  • NPI 1114234689
  NPD (past)
• Stella Marie Ziegelmeier, P.T.A.

  • Physical Therapy Assistant
  • Colby, KS
  • NPI 1275842981
  NPD (past)

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

{
    "created_epoch": "1122940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365033600000",
    "number": "1720089774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 MAIN ST",
            "city": "STOCKTON",
            "state": "KS",
            "postal_code": "676691929",
            "telephone_number": "785-415-2378",
            "fax_number": "785-415-2379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 MAIN ST",
            "city": "STOCKTON",
            "state": "KS",
            "postal_code": "676691929",
            "telephone_number": "785-415-2378",
            "fax_number": "785-415-2379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST KANSAS PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-02",
        "last_updated": "2013-04-04",
        "status": "A",
        "authorized_official_last_name": "STEPHENS",
        "authorized_official_first_name": "DAWN",
        "authorized_official_middle_name": "LARAE",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "785-415-2378",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "LLC NO. 3598190",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "115633",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100319840B",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DC6764",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "1ST GUARD.",
            "identifier": "590460",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lindsey Maree Dreiling, PT
• Lori Eichman, RN
• Rodney Kent Hahn
• Carlee Lindsey, ATC
• Theresa Lynne Niblock, M.S. SLP
• Leslie Nicole Olmstead, OTR
• Stephanie Layne Pfortmiller, PTA
• Phillipsburg Chiropractic Center, PA (Stockton Chiropractic Center)
• Loral Lee Portenier, LCPC
• Revive Mental Health Solutions LLC

• Physical Therapist in Stockton, KS
• Providers in Stockton, KS by specialty
• Physical Therapist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2013; 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.