Physical Therapy Services at the Waterfront

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

PHYSICAL THERAPY SERVICES AT THE WATERFRONT

Practice address

7111 E 21St St N
Ste D
Wichita, KS 67206-1078

Phone

(316) 219-8484

Fax

(316) 858-2810

NPI assigned

Nov 15, 2006

Last updated

Feb 12, 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

Roseann K Cade, LPTNPI 1417933391

Title

Staff PT

Phone

(316) 219-8484

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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.

• Roseann K Cade, PT

  • Physical Therapist
  • Wichita, KS
  • NPI 1417933391
  NPD Authorized official
• Joshua Darby, PT

  • Physical Therapist
  • Wichita, KS
  • NPI 1033190327
  NPD (past)
• Julie Ann Waltemath, PT

  • Physical Therapist
  • Wichita, KS
  • NPI 1417119181
  NPD (past)

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360627200000",
    "number": "1760555205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7111 E 21ST ST N",
            "address_2": "STE D",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672061078",
            "telephone_number": "316-219-8484",
            "fax_number": "316-858-2810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7111 E 21ST ST N",
            "address_2": "STE D",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672061078",
            "telephone_number": "316-219-8484",
            "fax_number": "316-858-2810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL THERAPY SERVICES AT THE WATERFRONT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2013-02-12",
        "status": "A",
        "authorized_official_last_name": "CADE",
        "authorized_official_first_name": "ROSEANN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "STAFF PT",
        "authorized_official_telephone_number": "316-219-8484",
        "authorized_official_credential": "LPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phoenix Physical Therapy LLC (Physical Therapy by Phoenix)
• Phoenix Rising Psychiatric Services
• Varoun Upha Princella Phomvongsa, RN
• Meagan Phox, DO
• Physical Therapy Services at Cypress LLC (CORE Physical Therapy)
• Physician's Choice of Kansas, Inc
• Physiotherapy Associates Inc
• Physiotherapy Associates, Inc.
• Pia, LLC
• Tabitha Brook Pickard, LSCSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2013; 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.