Carrie Ronnette Hildebrand, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

11-02642 Issued in KS

Practice address

2817 9TH St
Great Bend, KS 67530-4809

Phone

(620) 282-4825

Fax

(620) 205-1206

NPI assigned

Sep 5, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

University of Kansas School of Med (KC/Wich/Sal), 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Catalyst Therapy and Sports Rehab LLCGroup PAC ID 0749689636, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Catalyst Therapy and Sports Rehab LLC

  • Physical Therapy Clinic/Center
  • Great Bend, KS
  • NPI 1285215293

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Advanced Therapy & Sports Medicine, Chartered

  • Physical Therapy Clinic/Center
  • Great Bend, KS
  • NPI 1013948975
  NPD (past)

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

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732233600000",
    "number": "1952403271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2817 9TH ST",
            "city": "GREAT BEND",
            "state": "KS",
            "postal_code": "675304809",
            "telephone_number": "620-282-4825",
            "fax_number": "620-205-1206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2817 9TH ST",
            "city": "GREAT BEND",
            "state": "KS",
            "postal_code": "675304809",
            "telephone_number": "620-282-4825",
            "fax_number": "620-205-1206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILDEBRAND",
        "first_name": "CARRIE",
        "middle_name": "RONNETTE",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-05",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "11-02642",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100643470B",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa Hernandez
• Marcus Herrera
• HHR Therapeutic Services, LLC
• Katrina L Hickel, R.T. (R) (M)
• Elisabeth Breann Higdon, PA-C
• Randall K Hildebrand, MD
• Ross Alan Hildebrand, D.D.S.
• Makenzie Hoch, LMSW
• Breanna Diane Holden
• Dianna Holguin

• Physical Therapist in Great Bend, KS
• Providers in Great Bend, KS by specialty
• Physical Therapist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2024; 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.