Active NPI
Adam William Veenis, PT, DPT
- Physical Therapist
- Wichita, KS
National Provider Identifier
1801386891
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11-05911
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 11-05911 | KS | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New 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.
-
dba Advanced Education in General Dentistry
- General Practice Dentistry
- Wichita, KS
- NPI 1336427582
-
- Student Health Clinic/Center
- Wichita, KS
- NPI 1174019293
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.