Active NPI
Ryan Ted Cook, DPT
- Physical Therapist
- Wichita, KS
National Provider Identifier
1730477191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11-04262
- Practice address
- 4515 E Central Ave
Ste a
Wichita, KS 67208-3915 - Phone
- (316) 260-6869
- Fax
- (316) 260-6872
- NPI assigned
- Jul 19, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 11-04262 | KS | Primary |
Addresses
Primary practice location
4515 E Central Ave
Ste a
Wichita, KS 67208-3915
Mailing address
200 W Douglas Ave
Ste 1040
Wichita, KS 67202-3013
Phone (316) 263-0003
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
200 Main St
Halstead, KS 67056-1913
Phone (316) 835-7013
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11-04262 | KS | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced PT of Newton, LLC | Physical Therapist | Current | Accepting new patients |
| Action Physical Therapy | Physical Therapist | Current | Accepting new patients |
Locations
200 Main St
Halstead, KS 67056
Phone (316) 835-2229
701 S Main St
Hesston, KS 67062
Phone (316) 283-7187
715 Medical Center Dr
Ste 300
Newton, KS 67114
Phone (316) 283-7187
Organizations & group practices 2
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.
-
- Physical Therapist
- Halstead, KS
- NPI 1235766023
-
- Physical Therapist
- Newton, KS
- NPI 1801043369
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1355270400000",
"number": "1730477191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 W DOUGLAS AVE",
"address_2": "STE 1040",
"city": "WICHITA",
"state": "KS",
"postal_code": "672023013",
"telephone_number": "316-263-0003",
"fax_number": "316-263-1241"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4515 E CENTRAL AVE",
"address_2": "STE A",
"city": "WICHITA",
"state": "KS",
"postal_code": "672083915",
"telephone_number": "316-260-6869",
"fax_number": "316-260-6872"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOK",
"first_name": "RYAN",
"middle_name": "TED",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-07-19",
"last_updated": "2012-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KS",
"license": "11-04262",
"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 Dec 12, 2012; 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.