Active NPI
Key Rehabilitation, Inc
- Physical Therapist
- Wichita, KS
National Provider Identifier
1992081939
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary | ||
| Occupational Therapist | 225X00000X | |||
| Speech-Language Pathologist | 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 DirectoryNPI 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.