NPIMap

Organization Active NPI

Envision Vision Rehabilitation Center Inc

  • Rehabilitation Clinic/Center
  • Wichita, KS
National Provider Identifier
1760908024
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
ENVISION VISION REHABILITATION CENTER INC
Practice address
610 N Main St
Wichita, KS 67203-3618
Phone
(316) 440-1600
Fax
(316) 440-1675
NPI assigned
Aug 18, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

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

Authorized official

Name
Jessica Clarke
Title
VP, FMS Operations
Phone
(316) 440-1507

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X Primary

Addresses

Primary practice location

610 N Main St
Wichita, KS 67203-3618

Mailing address

610 N Main St
Wichita, KS 67203-3618
Phone (316) 440-1600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171012002772 KS Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 6901977552 Practice locations: Wichita, KS

Outpatient physical therapy / speech pathology certification: CCN 176579

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
ENVISION VISION REHABILITATION CENTER INC
Certification status
Active
Provider type (POS)
Outpatient physical therapy / speech pathology
Participating since
May 1, 2018
Last certification
Mar 1, 2024
Ownership / control type
Voluntary Non-Profit Other Than Church
Facility address
610 N Main Street
Wichita, KS 67203

National Provider Directory

National Provider Directory

Locations

610 N Main St
Wichita, KS 67203
Phone (316) 440-1600

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1503014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788998400000",
    "number": "1760908024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 N MAIN ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672033618",
            "telephone_number": "316-440-1600",
            "fax_number": "316-440-1675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 N MAIN ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672033618",
            "telephone_number": "316-440-1600",
            "fax_number": "316-440-1675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENVISION VISION REHABILITATION CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-18",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A",
        "authorized_official_last_name": "CLARKE",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "VP, FMS OPERATIONS",
        "authorized_official_telephone_number": "316-440-1507"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.