NPIMap

Organization Active NPI

Summit Physical Therapy, LLC

  • Physical Therapist
  • Wichita, KS
National Provider Identifier
1891226718
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11-03129 Issued in KS
Legal business name
SUMMIT PHYSICAL THERAPY, LLC
Practice address
9330 E Central Ave Ste 300
Wichita, KS 67206-2561
Phone
(316) 358-7665
Fax
(833) 979-3632
NPI assigned
Mar 22, 2017
Last updated
Aug 15, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2024

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

Authorized official

Name
Dr. Heather Marie Rogers, PT, MPT, DPTNPI 1578859294
Title
Owner/Physical Therapist
Phone
(316) 358-7665

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 11-03129 KS Primary

Addresses

Primary practice location

9330 E Central Ave Ste 300
Wichita, KS 67206-2561

Mailing address

9330 E Central Ave Ste 300
Wichita, KS 67206-2561
Phone (316) 358-7665

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240524002000 KS Part B Supplier - Physical/Occupational Therapy Group in Private Practice 7810264520 Receives reassigned benefits from 6 practitioners
Practice locations: Wichita, KS

National Provider Directory

National Provider Directory

Locations

11940 W Central Ave
Ste 106
Wichita, KS 67212

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1490140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723680000000",
    "number": "1891226718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9330 E CENTRAL AVE STE 300",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672062561",
            "telephone_number": "316-358-7665",
            "fax_number": "833-979-3632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9330 E CENTRAL AVE STE 300",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672062561",
            "telephone_number": "316-358-7665",
            "fax_number": "833-979-3632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-22",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "316-358-7665",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, MPT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "11-03129",
            "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 Aug 15, 2024; 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.