Active NPI
Advanced PT, LLC
- Physical Therapist
- Wellington, KS
National Provider Identifier
1851955397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- ADVANCED PT, LLC
- Practice address
- 513 E 16TH St
Wellington, KS 67152-2802 - Phone
- (316) 263-0003
- NPI assigned
- Apr 30, 2019
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- David Charles Todd
- Title
- Owner and Authorized Official
- Phone
- (316) 263-0003
Other NPIs on the same Medicare enrollment 27
Corporate family (same tax ID) 22
Practitioners 2
-
Abbey Clark, DPT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060222000723 | KS | Part B Supplier - Clinic/Group Practice | 3678524709 |
Receives reassigned benefits from 102 practitioners 27 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Arkansas City, KS; Andover, KS; Winfield, KS; Wichita, KS; Wellington, KS; Sterling, KS; Park City, KS; Newton, KS… |
National Provider Directory
- Tax ID family
- Preferred PT Nampa
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary | ||
| Occupational Therapist | 225X00000X |
Addresses
NPPES NPI RegistryPrimary practice location
513 E 16TH St
Wellington, KS 67152-2802
Mailing address
200 W Douglas Ave Ste 1040
Wichita, KS 67202-3017
Phone (316) 263-0003
Other names 1
NPPES NPI Registry- Advanced PT Wellington
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 30, 2019.
{
"created_epoch": "1556582400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1556582400000",
"number": "1851955397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 W DOUGLAS AVE STE 1040",
"city": "WICHITA",
"state": "KS",
"postal_code": "672023017",
"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": "513 E 16TH ST",
"city": "WELLINGTON",
"state": "KS",
"postal_code": "671522802",
"telephone_number": "316-263-0003"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADVANCED PT, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-04-30",
"last_updated": "2019-04-30",
"status": "A",
"authorized_official_last_name": "TODD",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "CHARLES",
"authorized_official_title_or_position": "OWNER AND AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "316-263-0003"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Advanced PT Wellington",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Wellington, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2019; 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.