Physical Therapy Services at Cypress LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

PHYSICAL THERAPY SERVICES AT CYPRESS LLC

Doing business as

CORE Physical Therapy

Practice address

11120 E 26TH St N
Ste. 1300
Wichita, KS 67226-4548

Phone

(316) 858-1177

Fax

(316) 858-1178

NPI assigned

Nov 16, 2006

Last updated

May 2, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Steven W Vequist, PTNPI 1972588499

Title

Owner

Phone

(316) 858-1177

Specialties & licenses 1

Addresses

Other names 1

• CORE Physical Therapy Doing business as

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Locations

Practitioners 6

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.

• Steven Wilson Vequist, PT

  • Physical Therapist
  • Wichita, KS
  • NPI 1972588499
  Medicare reassignment Care Compare group NPD Authorized official
• Jordin Alena Burleson, ATC, DPT

  • Physical Therapist
  • Wichita, KS
  • NPI 1609559673
  Medicare reassignment Care Compare group NPD
• Cody Glick

  • Physical Therapist
  • Andover, KS
  • NPI 1083237283
  Medicare reassignment Care Compare group NPD
• Rebecca Lynn Mumford, DPT

  • Physical Therapist
  • Wichita, KS
  • NPI 1588011936
  Medicare reassignment Care Compare group NPD
• Julie Ann Waltemath, PT

  • Physical Therapist
  • Wichita, KS
  • NPI 1417119181
  Medicare reassignment Care Compare group NPD
• Jill D Austin, PT

  • Physical Therapist
  • Wichita, KS
  • NPI 1003890260
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493683200000",
    "number": "1942373063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11120 E 26TH ST N",
            "address_2": "STE. 1300",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672264548",
            "telephone_number": "316-858-1177",
            "fax_number": "316-858-1178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11120 E 26TH ST N",
            "address_2": "STE. 1300",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672264548",
            "telephone_number": "316-858-1177",
            "fax_number": "316-858-1178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL THERAPY SERVICES AT CYPRESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2017-05-02",
        "status": "A",
        "authorized_official_last_name": "VEQUIST",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "316-858-1177",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CORE Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• 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 May 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.