NPIMap

Organization Active NPI

Advanced PT of Newton, LLC

Doing business as Empower Physical Therapy

  • Physical Therapist
  • Newton, KS
National Provider Identifier
1801043369
Registry record updated Jul 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11-01015 Issued in KS
Legal business name
ADVANCED PT OF NEWTON, LLC
Doing business as
Empower Physical Therapy
Practice address
715 Medical Center Dr Ste 300
Newton, KS 67114-9056
Phone
(316) 283-7187
Fax
(316) 283-7189
NPI assigned
Aug 26, 2008
Last updated
Jul 29, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2024

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

Authorized official

Name
Mrs. Jacie N Benson
Title
Vice President of Admin
Phone
(316) 283-7187

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 11-01015 KS Primary

Addresses

Primary practice location

715 Medical Center Dr Ste 300
Newton, KS 67114-9056

Mailing address

715 Medical Center Dr Ste 300
Newton, KS 67114-9056
Phone (316) 283-7187

Other practice location 1

701 S Main St
Hesston, KS 67062-8974
Phone (620) 327-2323

Other practice location 2

338 S Andover Rd Ste 100
Andover, KS 67002-7886
Phone (316) 348-2766

Other identifiers 2

IdentifierTypeStateIssuer
200308300EMedicaidKS
20027006DMedicaidKS

Other names 1

  • Empower Physical Therapy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090112000176 KS Part B Supplier - Clinic/Group Practice 3476616848 Receives reassigned benefits from 24 practitioners
Practice locations: Andover, KS; Hesston, KS; Newton, KS; Wichita, KS

National Provider Directory

National Provider Directory
Tax ID family
Advanced PT of Newton2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

338 S Andover Rd
Ste 100
Andover, KS 67002
Phone (316) 348-2766

715 Medical Center Dr
Ste 300
Newton, KS 67114
Phone (316) 283-7187

10330 W Central Ave
Ste 160
Wichita, KS 67212
Phone (316) 283-7187

Practitioners & affiliated clinicians

Practitioners 38

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.

View all 38

NPI Registry JSON

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

{
    "created_epoch": "1219708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722211200000",
    "number": "1801043369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 MEDICAL CENTER DR STE 300",
            "city": "NEWTON",
            "state": "KS",
            "postal_code": "671149056",
            "telephone_number": "316-283-7187",
            "fax_number": "316-283-7189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 MEDICAL CENTER DR STE 300",
            "city": "NEWTON",
            "state": "KS",
            "postal_code": "671149056",
            "telephone_number": "316-283-7187",
            "fax_number": "316-283-7189"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "701 S Main St",
            "address_purpose": "LOCATION",
            "city": "Hesston",
            "state": "KS",
            "postal_code": "670628974",
            "country_code": "US",
            "telephone_number": "620-327-2323",
            "fax_number": "620-327-3495",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "338 S Andover Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Andover",
            "state": "KS",
            "postal_code": "670027886",
            "country_code": "US",
            "telephone_number": "316-348-2766",
            "fax_number": "316-745-7385",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ADVANCED PT OF NEWTON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-26",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A",
        "authorized_official_last_name": "BENSON",
        "authorized_official_first_name": "JACIE",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "VICE PRESIDENT OF ADMIN",
        "authorized_official_telephone_number": "316-283-7187",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "11-01015",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200308300E",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20027006D",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Empower Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newton, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2024; 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.