Organization Active NPI

Key Rehabilitation, Inc

  • Physical Therapist
  • Wichita, KS
National Provider Identifier
1992081939
Registry record updated Oct 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
KEY REHABILITATION, INC
Practice address
2020 N Tyler Rd
Wichita, KS 67212-4905
Phone
(316) 650-4321
Fax
(615) 691-6400
NPI assigned
Oct 21, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2011

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

Authorized official

Name
Randy Schertz
Title
Cfo
Phone
(615) 896-6400

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X

Addresses

Primary practice location

2020 N Tyler Rd
Wichita, KS 67212-4905

Mailing address

1335 NW Broad St
Murfreesboro, TN 37129-4428
Phone (615) 896-6400

Other names 1

  • ReLive Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040123000797 KS Part B Supplier - Clinic/Group Practice 9638086432 Receives reassigned benefits from 35 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Kinsley, KS; Lawrence, KS; Leavenworth, KS; Manhattan, KS; Mission, KS; Oskaloosa, KS; Oxford, KS; Paola, KS…

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1319155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319155200000",
    "number": "1992081939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1335 NW BROAD ST",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371294428",
            "telephone_number": "615-896-6400",
            "fax_number": "615-896-5177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 N TYLER RD",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672124905",
            "telephone_number": "316-650-4321",
            "fax_number": "615-691-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEY REHABILITATION, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-21",
        "last_updated": "2011-10-21",
        "status": "A",
        "authorized_official_last_name": "SCHERTZ",
        "authorized_official_first_name": "RANDY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "615-896-6400"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ReLive",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 21, 2011; 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.