Individual provider Active NPI

Zachary Scott Rickett, DPT

  • Physical Therapist
  • Wichita, KS
National Provider Identifier
1831500321
Registry record updated May 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
T-03900 Issued in KS
Practice address
2081 N Webb Rd
Wichita, KS 67206-3411
Phone
(316) 269-1311
Fax
(316) 269-1588
NPI assigned
May 19, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2014

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 T-03900 KS Primary

Addresses

Primary practice location

2081 N Webb Rd
Wichita, KS 67206-3411

Mailing address

200 W Douglas Ave
Ste 1040
Wichita, KS 67202-3013
Phone (316) 263-0003

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140827001880 KS Practitioner - Physical Therapist in Private Practice 1557589991 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced PT LLCGroup PAC ID 3678524709, 84 clinicians

Practice addresses (Care Compare)

3730 N Ridge Rd
Suite 500
Wichita, KS 67205-1233
Phone (316) 440-4901

550 N Andover Rd
Advanced PT Andover
Andover, KS 67002-9712
Phone (316) 202-0195

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
T-03900KSMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced PT, LLC Physical Therapist CurrentSince May 15, 2014 Accepting new patients
Advanced PT LLC Physical Therapist Current Accepting new patients
Advanced PT LLC Physical Therapist CurrentSince May 15, 2014 Accepting new patients
Advanced PT, LLC PastSince Dec 1, 2014 Accepting new patients

Locations

2803 N Lorraine St
Ste F
Hutchinson, KS 67502
Phone (620) 662-3111

400 W 4th St
McPherson, KS 67460
Phone (620) 241-4201

4515 E Central Ave
Ste A
Wichita, KS 67208
Phone (316) 260-6869

6940 W Newell St
Wichita, KS 67212
Phone (316) 440-3731

3730 N Ridge Rd
Ste 500
Wichita, KS 67205
Phone (316) 440-4901

200 W Douglas Ave
Ste 1040
Wichita, KS 67202
Phone (866) 412-5554

2081 N Webb Rd
Wichita, KS 67206
Phone (316) 269-1311

Organizations & group practices 4

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": "1400457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400457600000",
    "number": "1831500321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W DOUGLAS AVE",
            "address_2": "STE 1040",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672023013",
            "telephone_number": "316-263-0003",
            "fax_number": "316-263-1241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2081 N WEBB RD",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672063411",
            "telephone_number": "316-269-1311",
            "fax_number": "316-269-1588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICKETT",
        "first_name": "ZACHARY",
        "middle_name": "SCOTT",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-19",
        "last_updated": "2014-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "T-03900",
            "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 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.