James Bales
Individual provider Active NPI Physical Therapist · Anthony, KS
NPI 1902454150 · NPPES record last updated Aug 21, 2020
Key facts
- NPI
- 1902454150
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 11-02574 (KS)
- Practice address
- 485 N KS Hwy 2
Anthony, KS 67003-2526 - Phone
- (620) 914-1200
- NPI assigned
- Aug 30, 2019
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200103001805 | KS | Practitioner - Physical Therapist in Private Practice | 9335573047 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospital District No 6 of Harper County Kansas | Current | Accepting new patients |
Locations
485 N KS Hwy 2
Anthony, KS 67003
Phone (620) 914-1200
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 11-02574 | KS | Yes |
Addresses
Primary practice location
485 N KS Hwy 2
Anthony, KS 67003-2526
Mailing address
485 N KS Hwy 2
Anthony, KS 67003-2526
Phone (620) 914-1200
Other providers in Anthony, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 21, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.