Individual provider Active NPI

Susan L Palmer, PT

  • Physical Therapist
  • Wichita, KS
National Provider Identifier
1902875065
Registry record updated Jul 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11-02265 Issued in KS
Practice address
10333 E 21St St N
Ste 406
Wichita, KS 67206-3543
Phone
(316) 630-9944
NPI assigned
Mar 14, 2006
Last updated
Jul 23, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 11-02265 KS Primary

Addresses

Primary practice location

10333 E 21St St N
Ste 406
Wichita, KS 67206-3543

Mailing address

10333 E 21St St N
Ste 406
Wichita, KS 67206-3543
Phone (316) 630-9944

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050805000240 KS Practitioner - Physical Therapist in Private Practice 3577592039 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Palmer Physical Therapy for Women, Inc.Group PAC ID 0749273555, 9 clinicians

Practice addresses (Care Compare)

10333 E 21St St N
Suite 406
Wichita, KS 67206-3547
Phone (316) 630-9944

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11-02265KSMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Palmer Physical Therapy for Women, Inc. Physical Therapist CurrentSince Aug 8, 2005 Accepting new patients

Locations

10333 E 21st St N
Ste 406
Wichita, KS 67206
Phone (316) 630-9944

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374537600000",
    "number": "1902875065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10333 E 21ST ST N",
            "address_2": "STE 406",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672063543",
            "telephone_number": "316-630-9944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10333 E 21ST ST N",
            "address_2": "STE 406",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672063543",
            "telephone_number": "316-630-9944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMER",
        "first_name": "SUSAN",
        "middle_name": "L",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-14",
        "last_updated": "2013-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "11-02265",
            "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 Jul 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.