NPIMap

Organization Active NPI

In Control Physical Therapy LLC

  • Physical Therapist
  • Wichita, KS
National Provider Identifier
1912416041
Registry record updated Sep 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11-03839 Issued in KS
Legal business name
IN CONTROL PHYSICAL THERAPY LLC
Practice address
5002 E Central Ave Ste B
Wichita, KS 67208-4167
Phone
(316) 691-8885
Fax
(316) 691-8866
NPI assigned
Sep 20, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2017

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

Authorized official

Name
Ms. Kristen P Fields, DPTNPI 1447697453
Title
Owner
Phone
(620) 218-5193

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 TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 11-03839 KS Primary

Addresses

Primary practice location

5002 E Central Ave Ste B
Wichita, KS 67208-4167

Mailing address

308 S Belmont St
Wichita, KS 67218-1306
Phone (620) 218-5193

Other identifiers 1

IdentifierTypeStateIssuer
20109034MedicaidKS

National Provider Directory

National Provider Directory

Locations

5002 E Central Ave
Ste B
Wichita, KS 67208
Phone (316) 691-8885

Practitioners & affiliated clinicians

Practitioners 3

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": "1505865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1505865600000",
    "number": "1912416041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 S BELMONT ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672181306",
            "telephone_number": "620-218-5193",
            "fax_number": "316-691-8866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5002 E CENTRAL AVE STE B",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672084167",
            "telephone_number": "316-691-8885",
            "fax_number": "316-691-8866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IN CONTROL PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-20",
        "last_updated": "2017-09-20",
        "status": "A",
        "authorized_official_last_name": "FIELDS",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "620-218-5193",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "11-03839",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20109034",
            "state": "KS"
        }
    ],
    "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 Sep 20, 2017; 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.