Individual provider Active NPI

Elizabeth Palmgren, CPTA

  • Physical Therapy Assistant
  • Wichita, KS
National Provider Identifier
1922476068
Registry record updated Sep 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
14-02576 Issued in KS
Practice address
2828 N Governeour St
Wichita, KS 67226-1700
Phone
(316) 858-3961
Fax
(316) 719-4796
NPI assigned
Sep 7, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 7, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 14-02576 KS Primary

Addresses

Primary practice location

2828 N Governeour St
Wichita, KS 67226-1700

Mailing address

2828 N Governeour St
Wichita, KS 67226-1700
Phone (316) 858-3961

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
14-02576KSMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1441584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441584000000",
    "number": "1922476068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2828 N GOVERNEOUR ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672261700",
            "telephone_number": "316-858-3961",
            "fax_number": "316-719-4796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2828 N GOVERNEOUR ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672261700",
            "telephone_number": "316-858-3961",
            "fax_number": "316-719-4796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMGREN",
        "first_name": "ELIZABETH",
        "credential": "CPTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-07",
        "last_updated": "2015-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "KS",
            "license": "14-02576",
            "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 Sep 7, 2015; 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.