Individual provider Active NPI

Angela Michelle Reich, DPT

  • Physical Therapist
  • Garden City, KS
National Provider Identifier
1932432747
Registry record updated Oct 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11-03959 Issued in KS
Practice address
1800 Palace Dr
Suite C
Garden City, KS 67846-6264
Phone
(620) 271-0700
Fax
(620) 271-0703
NPI assigned
Sep 10, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X KS1103959 KS
Physical Therapist 225100000X 2009014372 MO
Physical Therapist 225100000X 11-03959 KS Primary

Addresses

Primary practice location

1800 Palace Dr
Suite C
Garden City, KS 67846-6264

Mailing address

1800 Palace Dr Ste C
Garden City, KS 67846-6265
Phone (657) 294-6350

Other identifiers 1

IdentifierTypeStateIssuer
200663110AMedicaidKS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100708000426 KS Practitioner - Physical Therapist in Private Practice 7012048069 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
92.05 of 100Reported as individual
Quality
84.09
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
KS1103959KSMDPhysical Medicine & Rehabilitation Physician
11-03959KSMDPhysical Therapist
2009014372MOMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Impel Physical Therapy Co PLLC Physical Therapist Current Accepting new patients
Accelacare Physical Therapy LLC Physical Therapist CurrentSince Mar 29, 2010 Accepting new patients
Integrate Family Health LLC Current Accepting new patients

Locations

1800 Palace Dr
Ste C
Garden City, KS 67846
Phone (620) 271-0700

101 E Fulton St
Garden City, KS 67846
Phone (620) 271-0700

Interoperability endpoints

  • Direct secure messaging: angela.reich@khindirect.org

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1252540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665619200000",
    "number": "1932432747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 PALACE DR STE C",
            "city": "GARDEN CITY",
            "state": "KS",
            "postal_code": "678466265",
            "telephone_number": "657-294-6350",
            "fax_number": "620-271-0703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 PALACE DR",
            "address_2": "SUITE C",
            "city": "GARDEN CITY",
            "state": "KS",
            "postal_code": "678466264",
            "telephone_number": "620-271-0700",
            "fax_number": "620-271-0703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REICH",
        "first_name": "ANGELA",
        "middle_name": "MICHELLE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-10",
        "last_updated": "2022-10-13",
        "certification_date": "2022-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "KS",
            "license": "KS1103959",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2009014372",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "11-03959",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200663110A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden City, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2022; 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.