Active NPI
Kailey P Thach, DPT
- Physical Therapist
- Hutchinson, KS
National Provider Identifier
1780177543
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11-05895
- Practice address
- 2803 N Lorraine St Ste F
Hutchinson, KS 67502-4355 - Phone
- (620) 662-3111
- Fax
- (620) 662-3122
- NPI assigned
- Jun 7, 2018
- Sex
- Female
- 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 | 11-05895 | KS | Primary |
Addresses
Primary practice location
2803 N Lorraine St Ste F
Hutchinson, KS 67502-4355
Mailing address
2803 N Lorraine St Ste F
Hutchinson, KS 67502-4355
Phone (620) 662-3111
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, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2803 N Lorraine St
Suite F
Hutchinson, KS 67502-4355
Phone (620) 662-3111
Merit-based Incentive Payment System (MIPS)
- Final score
- 76.53 of 100
- Quality
- 72.74
- Improvement activities
- 40
- Cost
- 71.74
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced PT LLC | Physical Therapist | Current | Accepting new patients |
| Advanced PT, LLC | Past | Accepting new patients |
Locations
2803 N Lorraine St
Ste F
Hutchinson, KS 67502
Phone (620) 662-3111
200 W Douglas Ave
Ste 1040
Wichita, KS 67202
Phone (866) 412-5554
Organizations & group practices 3
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
- Wichita, KS
- NPI 1780616789
-
- Physical Therapist
- Hutchinson, KS
- NPI 1659471357
-
- Physical Therapy Clinic/Center
- Wichita, KS
- NPI 1043805492
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528329600000",
"number": "1780177543",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2803 N LORRAINE ST STE F",
"city": "HUTCHINSON",
"state": "KS",
"postal_code": "675024355",
"telephone_number": "620-662-3111",
"fax_number": "620-662-3122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2803 N LORRAINE ST STE F",
"city": "HUTCHINSON",
"state": "KS",
"postal_code": "675024355",
"telephone_number": "620-662-3111",
"fax_number": "620-662-3122"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THACH",
"first_name": "KAILEY",
"middle_name": "P",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-07",
"last_updated": "2018-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KS",
"license": "11-05895",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hutchinson, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2018; 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.