Mark F Gaddis, RPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1102957 Issued in KS

Practice address

2146 N Collective LN Ste 114
Wichita, KS 67206-3574

Phone

(316) 358-9942

Fax

(316) 358-0458

NPI assigned

Jun 24, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wichita Physical Therapy Group LLCGroup PAC ID 8325448616, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Wichita Physical Therapy Group, LLC

  • Physical Therapist
  • Wichita, KS
  • NPI 1306429345
  Medicare reassignment Care Compare group NPD
• Wichita Physical Therapy Group, LLC

  • Durable Medical Equipment & Medical Supplies
  • Wichita, KS
  • NPI 1053193631
  NPD
• Advanced PT, LLC

  • Physical Therapy Clinic/Center
  • Wichita, KS
  • NPI 1043805492
  NPD (past)

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

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627430400000",
    "number": "1992731525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2146 N COLLECTIVE LN STE 114",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672063574",
            "telephone_number": "316-358-9942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2146 N COLLECTIVE LN STE 114",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672063574",
            "telephone_number": "316-358-9942",
            "fax_number": "316-358-0458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GADDIS",
        "first_name": "MARK",
        "middle_name": "F",
        "credential": "RPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-24",
        "last_updated": "2021-07-28",
        "certification_date": "2021-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "1102957",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200270140B",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bailee Gabriel
• Michelle Gabriel, RN
• Shonnetta Lachan Gabriel, LMSW, LAC
• Gabrielle Sunderland, LLC
• Aly A Gadalla, MD
• Todd Wayne Gaddis, LAT, ATC
• Rekha Gadiparthi, MD
• Blair Gaede
• Abby Gaffner, DO
• John D Gagnon, DDS

• Physical Therapist in Wichita, KS
• Providers in Wichita, KS by specialty
• Physical Therapist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 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.