Organization Active NPI

Western Kansas Rehabilitation Services PA

Doing business as Synergy Physical Therapy & Wellness

  • Physical Therapy Clinic/Center
  • Garden City, KS
National Provider Identifier
1962746826
Registry record updated Jan 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
WESTERN KANSAS REHABILITATION SERVICES PA
Doing business as
Synergy Physical Therapy & Wellness
Practice address
1501 E Fulton Ter
Ste 1
Garden City, KS 67846-6289
Phone
(620) 805-6883
Fax
(620) 805-6886
NPI assigned
Nov 15, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2013

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

Authorized official

Name
Charles Lee Williams, MSPTNPI 1326129354
Title
Partner
Phone
(620) 640-4058

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

1501 E Fulton Ter
Ste 1
Garden City, KS 67846-6289

Mailing address

1501 E Fulton Ter
Ste 1
Garden City, KS 67846-6289
Phone (620) 805-6883

Other names 1

  • Synergy Physical Therapy & Wellness Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130617000320 KS Part B Supplier - Physical/Occupational Therapy Group in Private Practice 6103065552 Receives reassigned benefits from 2 practitioners
Practice locations: Garden City, KS

National Provider Directory

National Provider Directory

Locations

1501 E Fulton Ter
#1
Garden City, KS 67846
Phone (620) 805-6883

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358035200000",
    "number": "1962746826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 E FULTON TER",
            "address_2": "STE 1",
            "city": "GARDEN CITY",
            "state": "KS",
            "postal_code": "678466289",
            "telephone_number": "620-805-6883",
            "fax_number": "620-805-6886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 E FULTON TER",
            "address_2": "STE 1",
            "city": "GARDEN CITY",
            "state": "KS",
            "postal_code": "678466289",
            "telephone_number": "620-805-6883",
            "fax_number": "620-805-6886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN KANSAS REHABILITATION SERVICES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-15",
        "last_updated": "2013-01-13",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "620-640-4058",
        "authorized_official_credential": "MSPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Synergy Physical Therapy & Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 13, 2013; 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.