Individual provider Active NPI

John Mbugua Wanjigi

  • Physical Therapy Assistant
  • Wichita, KS
National Provider Identifier
1962187971
Registry record updated Jun 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
14-02160 Issued in KS
Practice address
834 S Bedford CT
Wichita, KS 67207-4319
Phone
(316) 990-0033
NPI assigned
Jun 19, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 19, 2023

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 14-02160 KS Primary

Addresses

Primary practice location

834 S Bedford CT
Wichita, KS 67207-4319

Mailing address

834 S Bedford CT
Wichita, KS 67207-4319
Phone (316) 990-0033

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
14-02160KSMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Heartland Therapy Solutions LLC Physical Therapy Assistant CurrentSince Aug 22, 2023 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1687132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687132800000",
    "number": "1962187971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "834 S BEDFORD CT",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672074319",
            "telephone_number": "316-990-0033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "834 S BEDFORD CT",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672074319",
            "telephone_number": "316-990-0033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANJIGI",
        "first_name": "JOHN",
        "middle_name": "MBUGUA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-06-19",
        "last_updated": "2023-06-19",
        "certification_date": "2023-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "KS",
            "license": "14-02160",
            "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 Jun 19, 2023; 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.