Individual provider Active NPI

Ashley Neidert, PT

  • Physical Therapist
  • Wichita, KS
National Provider Identifier
1992328512
Registry record updated Oct 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
1923 N Webb Rd
Wichita, KS 67206-3405
Phone
(316) 630-9300
Fax
(316) 262-4887
NPI assigned
May 19, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2021

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 Primary

Addresses

Primary practice location

1923 N Webb Rd
Wichita, KS 67206-3405

Mailing address

301 S Meridian Ave RM 113
Wichita, KS 67213-2629
Phone (316) 655-3403

Other practice location 1

1635 Freedom St Ste 900
Derby, KS 67037-7704
Phone (316) 630-9300

Other practice location 2

12112 W Kellogg St
Wichita, KS 67235-1100
Phone (316) 630-9300

Other identifiers 1

IdentifierTypeStateIssuer
PENDINGOtherKSKS STATE BOARD OF HEALING ARTS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211201000271 KS Practitioner - Physical Therapist in Private Practice 8224428552 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced PT of Newton, LLCGroup PAC ID 3476616848, 17 clinicians

Practice addresses (Care Compare)

715 Medical Ctr Dr
Suite 300
Newton, KS 67114-9056
Phone (316) 283-7187

Merit-based Incentive Payment System (MIPS)

Final score
79.9 of 100Reported as group
Quality
62.85
Promoting interoperability
99
Improvement activities
40
Cost
70.97

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-America Orthopedics LLC CurrentSince Oct 11, 2021 Accepting new patients
Advanced PT of Newton, LLC Physical Therapist CurrentSince Dec 2, 2024 Accepting new patients
Mid-America Orthopedics, P.a. Past Accepting new patients

Locations

338 S Andover Rd
Ste 100
Andover, KS 67002
Phone (316) 348-2766

1635 Freedom St
Ste 900
Derby, KS 67037
Phone (316) 630-9300

701 S Main St
Hesston, KS 67062
Phone (316) 283-7187

715 Medical Center Dr
Ste 300
Newton, KS 67114
Phone (316) 283-7187

1923 N Webb Rd
Wichita, KS 67206
Phone (316) 262-4886

12112 W US Highway 54
Wichita, KS 67235
Phone (316) 440-1100

Organizations & group practices 3

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": "1589846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633046400000",
    "number": "1992328512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 S MERIDIAN AVE RM 113",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672132629",
            "telephone_number": "316-655-3403",
            "fax_number": "316-267-8191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1923 N WEBB RD",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672063405",
            "telephone_number": "316-630-9300",
            "fax_number": "316-262-4887"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1635 Freedom St Ste 900",
            "address_purpose": "LOCATION",
            "city": "Derby",
            "state": "KS",
            "postal_code": "670377704",
            "country_code": "US",
            "telephone_number": "316-630-9300",
            "fax_number": "316-978-9001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12112 W Kellogg St",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672351100",
            "country_code": "US",
            "telephone_number": "316-630-9300",
            "fax_number": "316-440-1089",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEIDERT",
        "first_name": "ASHLEY",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-19",
        "last_updated": "2021-10-01",
        "certification_date": "2021-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KS STATE BOARD OF HEALING ARTS",
            "identifier": "PENDING",
            "state": "KS"
        }
    ],
    "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 Oct 1, 2021; 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.