NPIMap

Organization Active NPI

Advanced PT LLC

Doing business as Advanced PT Maple Ridge

  • Physical Therapist
  • Wichita, KS
National Provider Identifier
1750312161
Registry record updated Oct 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11-021269 Issued in KS
Legal business name
ADVANCED PT LLC
Doing business as
Advanced PT Maple Ridge
Practice address
200 W Douglas Ave
Ste 1040
Wichita, KS 67202-3013
Phone
(316) 263-0003
Fax
(316) 263-1241
NPI assigned
Jul 5, 2006
Last updated
Oct 10, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2007

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

Authorized official

Name
Sharon Bertha Roseberry, P.T.NPI 1174619936
Title
Physical Therapist
Phone
(316) 944-0022

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 11-021269 KS Primary

Addresses

Primary practice location

200 W Douglas Ave
Ste 1040
Wichita, KS 67202-3013

Mailing address

7130 W Maple St
Ste 200
Wichita, KS 67209-2101
Phone (316) 944-0022

Other names 1

  • Advanced PT Maple Ridge Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Advanced PT LLC23 organizations share this tax ID, including this one

Other organizations with this tax ID 22

Organizations that report the same tax identification number in the National Provider Directory.

View all 22

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191974400000",
    "number": "1750312161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7130 W MAPLE ST",
            "address_2": "STE 200",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672092101",
            "telephone_number": "316-944-0022",
            "fax_number": "316-944-0020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED PT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2007-10-10",
        "status": "A",
        "authorized_official_last_name": "ROSEBERRY",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "BERTHA",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "316-944-0022",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "11-021269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced PT Maple Ridge",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.