ADVANCED THERAPY & SPORTS MEDICINE, CHARTERED (NPI# 1013948975) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013948975 |
| Entity Type | Organization |
| Organization Name | ADVANCED THERAPY & SPORTS MEDICINE, CHARTERED |
| Other Organization Name | ADVANCED THERAPY & SPORTS MEDICINE,CHARTERED |
| Practice Address |
4801 10th St Great Bend KS 67530-3252 |
| Mailing Address |
4801 10th St Great Bend KS 67530-3542 |
| Practice Telephone | 6207927868 |
| Mailing Telephone | 6207927868 |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2017-03-09 |
| Authorized Official Name | TERESA MALONE (PRESIDENT) |
| Authorized Official Telephone | 6207927868 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
261QP2000X | KS | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 200508610A | 05 |
| Other Name | Type Code |
|---|---|
| Advanced Therapy & Sports Medicine,Chartered | Doing Business As Name - Organization |
| Street Address |
4801 10TH ST |
| City | GREAT BEND |
| State | KS |
| Zip Code | 67530-3252 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992733133 | Teresa Philene Malone | Physical Therapist | 4801 10th St, Great Bend, KS 67530-3542 | 2006-06-28 |
| 1508481177 | Dalton Jones | Physical Therapist | 4801 10th St, Great Bend, KS 67530-3252 | 2020-06-10 |
| 1679036206 | Advanced Therapy & Sports Med., LLC | Clinic/Center | 4801 10th St, Great Bend, KS 67530-3252 | 2019-04-10 |
| 1306338629 | Jessica Ann Ebenkamp | Physical Therapist | 4801 10th St, Great Bend, KS 67530-3252 | 2018-06-01 |
| 1710271366 | Megan Joelle Beahm | Physical Therapist | 4801 10th St, Great Bend, KS 67530-3252 | 2011-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609488048 | Taryn Mitchell | Pharmacist | 3910 10th St, Great Bend, KS 67530 | 2020-08-18 |
| 1972113678 | Sarah Schenek | Counselor | 1819 11th Street, Great Bend, KS 67530 | 2020-08-06 |
| 1407471840 | Joanne Renee Wondra | Counselor | 801 Patton Road, Great Bend, KS 67530 | 2020-06-11 |
| 1144852302 | Rosenberg Dentistry: Joe Rosenberg Dds. Pa | Dentist | 1037 Sheridan Suite D, Great Bend, KS 67530 | 2020-02-06 |
| 1265895908 | Kayti Trapp | Physical Therapy Assistant | 1514 Ks-96 Hwy, Great Bend, KS 67530 | 2016-03-31 |
| 1083732069 | Drew Andrew Hosman Sr. | Counselor | 1105 Main St Ste D, Great Bend, KS 67530 | 2007-03-27 |
| 1912060435 | Larry G Kutina | Dentist | 3820 6th Street, Great Bend, KS 67530 | 2006-12-18 |
| 1144308883 | Hcc-healthcare of Great Bend, LLC | Skilled Nursing Facility | 1560 K96 Highway, Great Bend, KS 67530 | 2006-11-01 |
| 1841370699 | Edward Lake Jones | Pathology | 2001 Lincoln, Great Bend, KS 67530 | 2006-10-16 |
| 1407955529 | William G Hafner | Chiropractor | 1309 Williams St., Great Bend, KS 67530 | 2006-09-22 |
| Find all providers in zip 67530 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811553381 | Ukhs Great Bend, LLC | Clinic/Center | 3515 Broadway Ave, Great Bend, KS 67530-3633 | 2019-05-10 |
| 1679036206 | Advanced Therapy & Sports Med., LLC | Clinic/Center | 4801 10th St, Great Bend, KS 67530-3252 | 2019-04-10 |
| 1669840195 | St. Rose Health Center Inc | Clinic/Center | 3515 Broadway Ave, Great Bend, KS 67530-3633 | 2015-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184230690 | Amazing Hands Therapy Services LLC | Clinic/Center | 10715 W 35th St S, Wichita, KS 67215-8647 | 2020-09-20 |
| 1568096998 | Webb Physical Therapy LLC | Clinic/Center | 4910 Wakarusa Ct, Lawrence, KS 66047-1856 | 2020-02-25 |
| 1487287082 | Phoenix Physical Therapy LLC | Clinic/Center | 12627 E Central Ave Ste 308, Wichita, KS 67206-2839 | 2020-02-21 |
| 1487205662 | Fit Pt and Wellness LLC | Clinic/Center | 323 W 24th St, Hays, KS 67601-3007 | 2019-09-27 |
| 1942767967 | Athletico Ltd | Clinic/Center | 14900 W 87th Street Pkwy, Lenexa, KS 66215-4159 | 2019-02-26 |
| 1508362799 | Occupational Health Centers of Kansas Pa | Clinic/Center | 1333 Meadowlark Ln Ste 200, Kansas City, KS 66102-1200 | 2018-04-05 |
| 1487160255 | Femme Focus, L.L.C. | Clinic/Center | 7927 Floyd, Rm 5, Home Family Holistic Center, Overland Park, KS 66204 | 2017-12-15 |
| 1447787353 | Greg Jay Mugler | Clinic/Center | 610 N Osage St, Oxford, KS 67119-8242 | 2017-05-23 |
| 1659817476 | Premier Rehab Specialists, Pllc | Clinic/Center | 1517 Cr 1200, Caney, KS 67333-2839 | 2017-01-18 |
| 1326582560 | Brandy Palacios | Clinic/Center | 1501 N 79th St, Kansas City, KS 66112-2183 | 2016-12-07 |
| Find all providers with the same taxonomy | ||||
| City | GREAT BEND |
| Zip Code | 67530 |
Please comment or provide details below to improve the information on ADVANCED THERAPY & SPORTS MEDICINE, CHARTERED.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.