Individual provider Active NPI

Adam Ryan Goodpasture, DPT, PT

  • Physical Therapist
  • Atchison, KS
National Provider Identifier
1811762271
Registry record updated Mar 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11-05202 Issued in KS
Practice address
800 Ravenhill Dr
Atchison, KS 66002-9204
Phone
(913) 360-5550
Fax
(913) 674-2015
NPI assigned
Nov 16, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2026

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 11-05202 KS Primary

Addresses

Primary practice location

800 Ravenhill Dr
Atchison, KS 66002-9204

Mailing address

800 Ravenhill Dr
Atchison, KS 66002-9204
Phone (913) 360-5550

Other practice location 1

1903 Euclid Ave Ste B
Horton, KS 66439-1238
Phone (785) 486-2468

Other practice location 2

1004 Progress Dr Ste 150
Lansing, KS 66043-6345
Phone (913) 297-3215

Other identifiers 3

IdentifierTypeStateIssuer
30005200230001MedicaidKS
016289141OtherKSPTAN
480157185MedicaidMO

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241010001140 KS Practitioner - Physical Therapist in Private Practice 0042742470 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Amberwell Atchison Association Physical Therapist CurrentSince Aug 1, 2024 Accepting new patients
Amberwell Atchison Association CurrentSince Aug 1, 2024 Accepting new patients
Amberwell Atchison Association CurrentSince Oct 22, 2025 Accepting new patients

Locations

810 Ravenhill Dr
Atchison, KS 66002
Phone (913) 367-7300

800 Ravenhill Dr
Atchison, KS 66002
Phone (913) 367-2131

1903 Euclid Ave
Ste B
Horton, KS 66439
Phone (785) 486-2468

1903 Euclid Ave
Horton, KS 66439
Phone (785) 486-2468

1004 Progress Dr
Ste 150
Lansing, KS 66043
Phone (913) 297-3215

311 W Locust St
Troy, KS 66087
Phone (785) 985-3504

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1700092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773187200000",
    "number": "1811762271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 RAVENHILL DR",
            "city": "ATCHISON",
            "state": "KS",
            "postal_code": "660029204",
            "telephone_number": "913-360-5550",
            "fax_number": "913-674-2015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 RAVENHILL DR",
            "city": "ATCHISON",
            "state": "KS",
            "postal_code": "660029204",
            "telephone_number": "913-360-5550",
            "fax_number": "913-674-2015"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1903 Euclid Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Horton",
            "state": "KS",
            "postal_code": "664391238",
            "country_code": "US",
            "telephone_number": "785-486-2468",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1004 Progress Dr Ste 150",
            "address_purpose": "LOCATION",
            "city": "Lansing",
            "state": "KS",
            "postal_code": "660436345",
            "country_code": "US",
            "telephone_number": "913-297-3215",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOODPASTURE",
        "first_name": "ADAM",
        "middle_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "DPT, PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-11-16",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "11-05202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30005200230001",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "016289141",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "480157185",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atchison, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2026; 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.