Individual provider Active NPI

Damien Paul Hiser, DPT

  • Orthopedic Physical Therapist
  • Wichita, KS
National Provider Identifier
1780259887
Registry record updated May 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
T-05533 Issued in KS
Practice address
7015 E Central Ave Ste 3
Wichita, KS 67206-1943
Phone
(316) 558-8808
NPI assigned
May 21, 2021
Last updated
May 21, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X T-05533 KS Primary

Addresses

Primary practice location

7015 E Central Ave Ste 3
Wichita, KS 67206-1943

Mailing address

7633 W Oneil St
Wichita, KS 67212-6136
Phone (316) 249-8737

Other names 1

  • Dr. Damien Paul Hiser Professional name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231004003779 AZ Practitioner - Physical Therapist in Private Practice 7517312945 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2619 S Woodlands Village Blvd
Suite 750
Flagstaff, AZ 86001-1628
Phone (928) 224-0747

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
T-05533KSMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Basecamp Physical Therapy and Performance of Flagstaff LLC CurrentSince Oct 1, 2023 Accepting new patients
Select Rehabilitation, LLC Physical Therapist CurrentSince Aug 14, 2023 Accepting new patients
Bodyworx Physical Therapy, P.a. Physical Therapist PastSince May 25, 2021 Accepting new patients

Locations

2619 S Woodlands Village Blvd
Ste 750
Flagstaff, AZ 86001
Phone (928) 224-0747

3470 E Route 66
Ste 101
Flagstaff, AZ 86004
Phone (928) 224-0747

3223 N Webb Rd
Ste 2
Wichita, KS 67226
Phone (316) 609-3040

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1621555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621555200000",
    "number": "1780259887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7633 W ONEIL ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672126136",
            "telephone_number": "316-249-8737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7015 E CENTRAL AVE STE 3",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672061943",
            "telephone_number": "316-558-8808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HISER",
        "first_name": "DAMIEN",
        "middle_name": "PAUL",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-05-21",
        "last_updated": "2021-05-21",
        "certification_date": "2021-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "KS",
            "license": "T-05533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAMIEN",
            "last_name": "HISER",
            "middle_name": "PAUL",
            "prefix": "DR.",
            "credential": "DPT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Wichita, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2021; 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.