Individual provider Active NPI

Letitia M Dakin, DPT

  • Physical Therapist
  • Wichita, KS
National Provider Identifier
1992060339
Registry record updated Jul 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11-04191 Issued in KS
Practice address
7550 W Village Cir
Ste. 1
Wichita, KS 67205-9363
Phone
(316) 838-2020
Fax
(316) 838-7574
NPI assigned
Jul 11, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2012

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 11-04191 KS Primary

Addresses

Primary practice location

7550 W Village Cir
Ste. 1
Wichita, KS 67205-9363

Mailing address

7550 W Village Cir
Ste. 1
Wichita, KS 67205-9363
Phone (316) 838-2020

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121030000138 KS Practitioner - Physical Therapist in Private Practice 3173773090 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kansas Orthopaedic Center, PAGroup PAC ID 3577553668, 24 clinicians

Practice addresses (Care Compare)

7550 W Village Cir
Suite 1
Wichita, KS 67205-9364
Phone (316) 838-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11-04191KSMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kansas Orthopaedic Center, P.a. CurrentSince Aug 20, 2012 Accepting new patients
Kansas Orthopaedic Center, P.a. CurrentSince Aug 20, 2012 Accepting new patients

Locations

101 E Fulton St
Garden City, KS 67846
Phone (620) 271-0700

7550 W Village Cir
Ste 1
Wichita, KS 67205
Phone (316) 838-2020

2450 N Woodlawn Blvd
Wichita, KS 67220
Phone (316) 612-4815

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": "1341964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341964800000",
    "number": "1992060339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7550 W VILLAGE CIR",
            "address_2": "STE. 1",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672059363",
            "telephone_number": "316-838-2020",
            "fax_number": "316-838-7574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7550 W VILLAGE CIR",
            "address_2": "STE. 1",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672059363",
            "telephone_number": "316-838-2020",
            "fax_number": "316-838-7574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAKIN",
        "first_name": "LETITIA",
        "middle_name": "M",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-11",
        "last_updated": "2012-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "11-04191",
            "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 Jul 11, 2012; 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.