Advanced PT LLC
Organization Active NPI Physical Therapist · Wichita, KS
NPI 1750312161 · NPPES record last updated Oct 10, 2007
Key facts
- NPI
- 1750312161
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- License
- 11-021269 (KS)
- Legal business name
- ADVANCED PT LLC
- 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
- Organization subpart
- No
Authorized official
- Name
- Sharon Bertha Roseberry, P.T.
- Title
- Physical Therapist
- Phone
- (316) 944-0022
Corporate family (same tax ID) 22
National Provider Directory
- Tax ID family
- Preferred PT Nampa
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | 11-021269 | KS | Yes |
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
- Advanced PT Maple Ridge
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 Oct 10, 2007. 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.