Pelvic Health PT by Phoenix LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

PELVIC HEALTH PT BY PHOENIX LLC

Practice address

12627 E Central Ave Ste 308
Wichita, KS 67206-2839

Phone

(316) 260-3311

Fax

(316) 260-6696

NPI assigned

Sep 13, 2024

Organization subpart

No

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

Authorized official

Name

Logan Madding

Title

Director of Business Operations

Phone

(316) 260-3311

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1726185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726185600000",
    "number": "1891521944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12627 E CENTRAL AVE STE 308",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672062839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12627 E CENTRAL AVE STE 308",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672062839",
            "telephone_number": "316-260-3311",
            "fax_number": "316-260-6696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PELVIC HEALTH PT BY PHOENIX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-13",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-13",
        "status": "A",
        "authorized_official_last_name": "MADDING",
        "authorized_official_first_name": "LOGAN",
        "authorized_official_title_or_position": "DIRECTOR OF BUSINESS OPERATIONS",
        "authorized_official_telephone_number": "316-260-3311"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Terra Peintner
• Timothy Peintner, DPT
• Lawrence L Pelletier, MD
• Annalee Pellicotte
• Kristen A Peltzer
• Melany Pena
• Nubia Marisol Pena
• Charles D Pence, MD
• Tamara Pendergrass
• Lisa Marie Pendleton, RPT

• Physical Therapy Clinic/Center in Wichita, KS
• Providers in Wichita, KS by specialty
• Physical Therapy Clinic/Center in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.