Individual provider Active NPI

Brennan Wetter, PTA

  • Physical Therapy Assistant
  • Topeka, KS
National Provider Identifier
1992444848
Registry record updated May 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
1403738 Issued in KS
Practice address
5220 SW 17TH St Ste 130
Topeka, KS 66604-2514
Phone
(785) 271-5533
Fax
(785) 271-8818
NPI assigned
May 31, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 1403738 KS Primary

Addresses

Primary practice location

5220 SW 17TH St Ste 130
Topeka, KS 66604-2514

Mailing address

5220 SW 17TH St Ste 130
Topeka, KS 66604-2514
Phone (785) 271-5533

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1403738KSMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Rebound Physical Therapy Inc. CurrentSince Jun 5, 2022 Accepting new patients
Rebound Physical Therapy at Wood Valley PastSince Jun 5, 2022 Accepting new patients

Locations

5220 SW 17th St
Ste 130
Topeka, KS 66604
Phone (785) 271-5533

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": "1653955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653955200000",
    "number": "1992444848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5220 SW 17TH ST STE 130",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666042514",
            "telephone_number": "785-271-5533",
            "fax_number": "785-271-8818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5220 SW 17TH ST STE 130",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666042514",
            "telephone_number": "785-271-5533",
            "fax_number": "785-271-8818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WETTER",
        "first_name": "BRENNAN",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-31",
        "last_updated": "2022-05-31",
        "certification_date": "2022-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "KS",
            "license": "1403738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Topeka, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2022; 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.