Individual provider Active NPI

Peyton Quandt

  • Social Worker
  • Wichita, KS
National Provider Identifier
1861201238
Registry record updated Jul 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
14005 Issued in KS
Practice address
505 S Broadway Ave Ste 213
Wichita, KS 67202-3900
Phone
(316) 240-9959
NPI assigned
Dec 31, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 14005 KS Primary

Addresses

Primary practice location

505 S Broadway Ave Ste 213
Wichita, KS 67202-3900

Mailing address

505 S Broadway Ave Ste 213
Wichita, KS 67202-3900
Phone (972) 623-7686

Other practice location 1

8100 E 22nd St N Ste 2100-1
Wichita, KS 67226-2330
Phone (316) 260-6889

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250317001846 KS Practitioner - Clinical Social Worker 1355863689 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ict Therapyworks, LLCGroup PAC ID 6709176118, 9 clinicians

Practice addresses (Care Compare)

8100 E 22ND St N
BLDG 2100 Suite 1
Wichita, KS 67226-2350
Phone (316) 260-6889

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14005KSMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Therapeyton, LLC Social Worker Current Accepting new patients
Ict Therapy Works, LLC CurrentSince Mar 1, 2025 Accepting new patients

Locations

545 N Woodlawn St
Wichita, KS 67208
Phone (316) 260-6889

505 S Broadway Ave
Ste 213
Wichita, KS 67202
Phone (316) 240-9959

8100 E 22nd St N
Ste 2100-4
Wichita, KS 67226
Phone (316) 358-7128

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": "1735603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783987200000",
    "number": "1861201238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 S BROADWAY AVE STE 213",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672023900",
            "telephone_number": "972-623-7686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 S BROADWAY AVE STE 213",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672023900",
            "telephone_number": "316-240-9959"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8100 E 22nd St N Ste 2100-1",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672262330",
            "country_code": "US",
            "telephone_number": "316-260-6889",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QUANDT",
        "first_name": "PEYTON",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-12-31",
        "last_updated": "2026-07-14",
        "certification_date": "2026-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KS",
            "license": "14005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.