Individual provider Active NPI

Carlisle McCloud, DPT

  • Physical Therapist
  • Wichita, KS
National Provider Identifier
1962398792
Registry record updated Jun 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1107921 Issued in KS
Practice address
1819 N Greenwich Rd Ste a
Wichita, KS 67206-3103
Phone
(316) 260-8239
Fax
(316) 462-5767
NPI assigned
Jun 17, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1107921 KS Primary

Addresses

Primary practice location

1819 N Greenwich Rd Ste a
Wichita, KS 67206-3103

Mailing address

1819 N Greenwich Rd Ste a
Wichita, KS 67206-3103
Phone (316) 260-8239

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250723001486 KS Practitioner - Physical Therapist in Private Practice 9133635436 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
True Physical Therapy PAGroup PAC ID 0749591196, 8 clinicians

Practice addresses (Care Compare)

1819 N Greenwich Rd
Suite a
Wichita, KS 67206-3103
Phone (316) 260-8239

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1107921KSMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Chiropractic CurrentSince Jun 23, 2025 Accepting new patients
True Physical Therapy, P.a. Physical Therapist CurrentSince Jun 23, 2025 Accepting new patients

Locations

1819 N Greenwich Rd
Ste A
Wichita, KS 67206
Phone (316) 260-8239

Organizations & group practices 2

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": "1750118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750118400000",
    "number": "1962398792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1819 N GREENWICH RD STE A",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672063103",
            "telephone_number": "316-260-8239",
            "fax_number": "316-462-5767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1819 N GREENWICH RD STE A",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672063103",
            "telephone_number": "316-260-8239",
            "fax_number": "316-462-5767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLOUD",
        "first_name": "CARLISLE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-17",
        "last_updated": "2025-06-17",
        "certification_date": "2025-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "1107921",
            "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 17, 2025; 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.