Individual provider Active NPI

Adam William Veenis, PT, DPT

  • Physical Therapist
  • Wichita, KS
National Provider Identifier
1801386891
Registry record updated May 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11-05911 Issued in KS
Practice address
5926 W Driftwood CT
Wichita, KS 67205-5264
Phone
(316) 213-0494
NPI assigned
May 15, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2024

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 11-05911 KS Primary

Addresses

Primary practice location

5926 W Driftwood CT
Wichita, KS 67205-5264

Mailing address

5926 W Driftwood CT
Wichita, KS 67205-5264
Phone (316) 213-0494

Other practice location 1

7340 W 21st St N Ste 100
Wichita, KS 67205-1770
Phone (316) 613-3068

Other practice location 2

1220 S Meridian Ave Ste A
Valley Center, KS 67147-4969
Phone (316) 613-3068

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11-05911KSMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Wichita State University Past Accepting new patients
Wichita State University Student Health Services Past Accepting new patients

Organizations & group practices 2

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": "1526342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715040000000",
    "number": "1801386891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5926 W DRIFTWOOD CT",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672055264",
            "telephone_number": "316-213-0494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5926 W DRIFTWOOD CT",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672055264",
            "telephone_number": "316-213-0494"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7340 W 21st St N Ste 100",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672051770",
            "country_code": "US",
            "telephone_number": "316-613-3068",
            "fax_number": "316-613-3774",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1220 S Meridian Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Valley Center",
            "state": "KS",
            "postal_code": "671474969",
            "country_code": "US",
            "telephone_number": "316-613-3068",
            "fax_number": "316-613-3774",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VEENIS",
        "first_name": "ADAM",
        "middle_name": "WILLIAM",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-15",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "11-05911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.