Individual provider Active NPI

Marcia Louise Wolgast, P.T.

  • Physical Therapist
  • Wichita, KS
National Provider Identifier
1972649010
Registry record updated May 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11-01591 Issued in KS
Practice address
10100 E Shannon Woods Cir Ste 102
Wichita, KS 67226-4106
Phone
(316) 462-7450
NPI assigned
Jan 29, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 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 11-01591 KS Primary

Addresses

Primary practice location

10100 E Shannon Woods Cir Ste 102
Wichita, KS 67226-4106

Mailing address

10100 E Shannon Woods Cir Ste 102
Wichita, KS 67226-4106
Phone (316) 462-7450

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
11-01591KSMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ascension Via Christi Rehabilitation Hospital, Inc. Physical Therapist CurrentSince Mar 1, 2018 Accepting new patients
Ascension Via Christi Rehabilitation Hospital, Inc. Physical Therapist CurrentSince Mar 1, 2018 Accepting new patients
Ascension Via Christi Rehabilitation Hospital, Inc. PastSince Jun 3, 2025 Accepting new patients
Via Christi Rehabilitation Hospital, Inc Physical Therapist Past Accepting new patients

Locations

10100 E Shannon Woods Cir
Ste 102
Wichita, KS 67226
Phone (316) 462-7450

10100 E Shannon Woods Cir
Ste 2
Wichita, KS 67226
Phone (316) 681-0824

9727 E Shannon Woods Cir
Ste 160
Wichita, KS 67226
Phone (316) 681-0824

1151 N Rock Rd
Wichita, KS 67206
Phone (316) 634-3400

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20807/brand/4/csg/1/fhir/r4

Organizations & group practices 4

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": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748390400000",
    "number": "1972649010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10100 E SHANNON WOODS CIR STE 102",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672264106",
            "telephone_number": "316-462-7450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10100 E SHANNON WOODS CIR STE 102",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672264106",
            "telephone_number": "316-462-7450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLGAST",
        "first_name": "MARCIA",
        "middle_name": "LOUISE",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-29",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "11-01591",
            "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 May 28, 2025; 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.