Individual provider Active NPI

Kailey P Thach, DPT

  • Physical Therapist
  • Hutchinson, KS
National Provider Identifier
1780177543
Registry record updated Jun 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11-05895 Issued in KS
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

Updated by the provider on Jun 7, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20180627001517 KS Practitioner - Physical Therapist in Private Practice 5294081600 Reassigns benefits to 1 organization

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
Advanced PT LLCGroup PAC ID 3678524709, 84 clinicians

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 100Reported as individual
Quality
72.74
Improvement activities
40
Cost
71.74

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced PT LLC Physical Therapist CurrentSince Jan 3, 2022 Accepting new patients
Advanced PT, LLC PastSince Nov 11, 2020 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.

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.

Verify at the official NPI Registry.