Active NPI
Kenneth J Wilkens, DPT
- Physical Therapist
- Scott City, KS
National Provider Identifier
1922309608
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1104151
- Practice address
- 1402 S Main St
Scott City, KS 67871-1948 - Phone
- (206) 397-1901
- NPI assigned
- Nov 10, 2010
- Last updated
- Nov 19, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1104151 | KS | Primary |
Addresses
Primary practice location
1402 S Main St
Scott City, KS 67871-1948
Mailing address
1402 S Main St
Scott City, KS 67871-1948
Phone (206) 397-1901
Other names 1
- K.J. Wilkens
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1420 S Main St
Scott City, KS 67871-1948
Phone (620) 909-5043
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1104151 | KS | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wilkens PT, Inc. | Physical Therapist | Current | Accepting new patients |
Locations
1420 S Main St
Scott City, KS 67871
Phone (620) 397-1901
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": "1289347200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1542585600000",
"number": "1922309608",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1402 S MAIN ST",
"city": "SCOTT CITY",
"state": "KS",
"postal_code": "678711948",
"telephone_number": "206-397-1901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1402 S MAIN ST",
"city": "SCOTT CITY",
"state": "KS",
"postal_code": "678711948",
"telephone_number": "206-397-1901"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILKENS",
"first_name": "KENNETH",
"middle_name": "J",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-11-10",
"last_updated": "2018-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KS",
"license": "1104151",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "K.J.",
"last_name": "WILKENS",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Scott City, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2018; 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.