Stanley Galen Chapman, P.T.
Individual provider Active NPI Physical Therapist · Wichita, KS
NPI 1720234875 · NPPES record last updated Aug 17, 2016
Key facts
- NPI
- 1720234875
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 11-03843 (KS)
- Practice address
- 3730 N Ridge Rd
Ste 500
Wichita, KS 67205-1227 - Phone
- (316) 440-4901
- Fax
- (316) 440-4904
- NPI assigned
- Aug 8, 2008
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11-03843 | KS | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced PT Pca, LLC | Physical Therapist | Past | Accepting new patients |
| Advanced Physical Therapy PA | Physical Therapist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 11-03843 | KS | Yes |
Addresses
Primary practice location
3730 N Ridge Rd
Ste 500
Wichita, KS 67205-1227
Mailing address
PO Box 725
Ste. 1040
Goddard, KS 67052-0725
Phone (316) 263-0003
Other providers in Wichita, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 17, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.