Richard Wayne Dinneen, PTA
Individual provider Active NPI Physical Therapy Assistant · Saint Marys, KS
NPI 1881082014 · NPPES record last updated Dec 22, 2014
Key facts
- NPI
- 1881082014
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 14-01953 (KS)
- Practice address
- 203 E Lasley St
Saint Marys, KS 66536-1739 - Phone
- (785) 437-2008
- NPI assigned
- Dec 22, 2014
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14-01953 | KS | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 14-01953 | KS | Yes |
Addresses
Primary practice location
203 E Lasley St
Saint Marys, KS 66536-1739
Mailing address
203 E Lasley St
Saint Marys, KS 66536-1739
Phone (785) 437-2008
Other providers in Saint Marys, KS
- Community Healthcare System, Inc
- Community Healthcare System, Inc
- Craig F Schmaltz SP
- Cristo Rey Healthcare, LLC
- Bridget Ann Dinneen
- DM Sutherland Co LLC
- Dr. Verne E Claussen Jr PA
- James Durbin
- Michael Allen Eddy
- Joaquin Sebastian Figueroa
All providers in Saint Marys, KS · Physical Therapy Assistant in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 22, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.