Physical Therapy by Phoenix of Hutchinson LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

PHYSICAL THERAPY BY PHOENIX OF HUTCHINSON LLC

Practice address

1627 N Lorraine St
Hutchinson, KS 67501-5656

Phone

(620) 242-1941

Fax

(316) 260-6696

NPI assigned

Aug 24, 2023

Last updated

Aug 24, 2023By 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

Logan Madding

Title

Director of Business Operations

Phone

(316) 260-3311

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Practitioners 6

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.

• Austin Mettling, DPT

  • Physical Therapist
  • Wichita, KS
  • NPI 1225655475
  Medicare reassignment NPD
• Taylor Morris, ATC

  • Physical Therapist
  • Wichita, KS
  • NPI 1063895969
  Medicare reassignment NPD
• Daniel Andrew Stephens, PT, DPT

  • Physical Therapist
  • Augusta, KS
  • NPI 1356916951
  Medicare reassignment NPD
• Olivia Christine Guerrero

  • Physical Therapist
  • Hutchinson, KS
  • NPI 1982540290
  NPD (past)
• Gigi Renee Hurst, DC

  • Chiropractor
  • Hutchinson, KS
  • NPI 1447214101
  NPD (past)
• Scott Gregory Harnden, OTR/L, CHT

  • Hand Occupational Therapist
  • Raytown, MO
  • NPI 1255423075
  NPD (past)

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

{
    "created_epoch": "1692835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692835200000",
    "number": "1790569192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3223 N WEBB RD STE 2",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672268176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1627 N LORRAINE ST",
            "city": "HUTCHINSON",
            "state": "KS",
            "postal_code": "675015656",
            "telephone_number": "620-242-1941",
            "fax_number": "316-260-6696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL THERAPY BY PHOENIX OF HUTCHINSON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-24",
        "last_updated": "2023-08-24",
        "certification_date": "2023-08-24",
        "status": "A",
        "authorized_official_last_name": "MADDING",
        "authorized_official_first_name": "LOGAN",
        "authorized_official_title_or_position": "DIRECTOR OF BUSINESS OPERATIONS",
        "authorized_official_telephone_number": "316-260-3311"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Lee Peters, LSCSW
• Aubrey Peterson, PA-C
• Christine Marie Peterson, PT
• Joy Peterson
• Brandon Phipps, P.A.
• Megan A Pinkerton, AUD
• Pinnacle Sports Medicine & Orthopaedics PA
• Pinnacle Sports Medicine & Orthopaedics, PA
• Jordan Pittman, DMD
• Jennifer A Pitts, CNA

• Physical Therapy Clinic/Center in Hutchinson, KS
• Providers in Hutchinson, KS by specialty
• Physical Therapy Clinic/Center in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.