Keenan James Dung, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1107371 Issued in KS

Practice address

2146 N Collective LN Ste 114
Wichita, KS 67206-3574

Phone

(316) 358-9942

Fax

(316) 358-0458

NPI assigned

Jun 22, 2023

Last updated

Jun 22, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wichita Physical Therapy Group LLCGroup PAC ID 8325448616, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Wichita Physical Therapy Group, LLC

  dba Wichita Physical Therapy Group

  • Physical Therapist
  • Wichita, KS
  • NPI 1306429345
  Medicare reassignment Care Compare group NPD
• Wichita Physical Therapy Group, LLC

  dba Wichita Physical Therapy Group

  • Durable Medical Equipment & Medical Supplies
  • Wichita, KS
  • NPI 1053193631
  NPD

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

{
    "created_epoch": "1687392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687392000000",
    "number": "1912683384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2146 N COLLECTIVE LN STE 114",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672063574",
            "telephone_number": "316-358-9942",
            "fax_number": "316-358-0458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2146 N COLLECTIVE LN STE 114",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672063574",
            "telephone_number": "316-358-9942",
            "fax_number": "316-358-0458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNG",
        "first_name": "KEENAN",
        "middle_name": "JAMES",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-22",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "1107371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine Alden Coolidge Ramey Duncan, MD
• Leah Catherine Duncan
• Melissa Duncan, COTA
• Shelley Anne Duncan, M.A.
• Stacey Renae Duncan, COTA
• Lindsay Jenae Dunham
• Jared Dunlap, D.C.
• Denise L Dunn, RN
• Janice R Dunn, LMSW
• Kimberly Dunn, AAPS

• Physical Therapist in Wichita, KS
• Providers in Wichita, KS by specialty
• Physical Therapist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2023; 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.