WILCOX ADVANCED PHYSICAL THERAPY, LLC (NPI# 1104912922) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104912922 |
| Entity Type | Organization |
| Organization Name | WILCOX ADVANCED PHYSICAL THERAPY, LLC |
| Practice Address |
2243 S Meridian Ave Wichita KS 67213-1949 |
| Mailing Address |
200 W Douglas Ave Ste 1040 Wichita KS 67202-3013 |
| Practice Telephone | 3169425448 |
| Practice Fax Number | 3169455694 |
| Mailing Telephone | 3162630003 |
| Mailing Fax Number | 3162631241 |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2012-11-28 |
| Authorized Official Name | MATTHEW D WILCOX (OWNER) |
| Authorized Official Telephone | 3169425448 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 11-03350 | KS | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | MEDICARE PTAN | KA1554 | 01 |
| RAILROAD MEDICARE | DQ6270 | 01 |
| Street Address |
2243 S MERIDIAN AVE |
| City | WICHITA |
| State | KS |
| Zip Code | 67213-1949 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992740005 | Shalom M Laforge | Chiropractor | 2243 S Meridian Ave, Suite 101, Wichita, KS 67213-1911 | 2006-06-20 |
| 1275981094 | Amber Buckles | Physical Therapist | 2243 S Meridian Ave, Ste 105, Wichita, KS 67213-1949 | 2016-06-02 |
| 1952701948 | Megan A Carp | Physical Therapy Assistant | 2243 S Meridian Ave, Ste 105, Wichita, KS 67213-1949 | 2014-08-27 |
| 1811275027 | Kenneth William Barry | Physical Therapist | 2243 S Meridian Ave, Ste 105, Wichita, KS 67213-1949 | 2011-07-22 |
| 1497060388 | Matthew D Wilcox | Physical Therapist | 2243 S Meridian Ave, Ste 105, Wichita, KS 67213-1949 | 2010-08-16 |
| 1316195357 | Dopps Chiropractic Wellness Center LLC | Chiropractor | 2243 S Meridian Ave, Suite 101, Wichita, KS 67213-1949 | 2008-09-03 |
| 1770684771 | Halifa, Pa | Chiropractor | 2243 S Meridian Ave, Ste 101, Wichita, KS 67213-1911 | 2006-09-25 |
| 1316975949 | Charles Long | Chiropractor | 2243 S Meridian Ave, Suite 101, Wichita, KS 67213-1911 | 2006-06-30 |
| 1730117920 | Fredrick Paul Dopps | Chiropractor | 2243 S Meridian Ave, Suite 101, Wichita, KS 67213-1911 | 2006-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689111965 | Kelsey Lynn Riefenhauser | Specialist/Technologist, Other | 3100 Mccormick, Wichita, KS 67213 | 2017-01-25 |
| 1932579513 | Gracemed Health Clinic, Inc | Clinic/Center | 755 W. Lincoln St, Wichita, KS 67213 | 2015-09-25 |
| 1134564024 | Valerie Christine Wondra | Physical Therapist | 301 S Meridian Ave, Wichita, KS 67213 | 2013-05-06 |
| 1942597505 | Carmen Maria Aguilar | Social Worker | 2312 S Meridian Ave Ste 102, Wichita, KS 67213 | 2011-07-05 |
| 1245568625 | Joanne Velez | Home Health | 711 S Main, Wichita, KS 67213 | 2009-11-24 |
| 1093958712 | Adaptive Living, LLC | Occupational Therapist | 2423 W. Maple, Ste B, Wichita, KS 67213 | 2009-04-10 |
| 1295809069 | Stacey D Langston | Technician/Technologist | 2301 S Water, Wichita, KS 67213 | 2006-11-20 |
| 1275595134 | Ronald Dean Fisher | Optometrist | 2635 W Douglas, Wichita, KS 67213 | 2006-04-05 |
| 1083676936 | Wichita Optometry, P.a. | Optometrist | 2635 W Douglas Ave, Wichita, KS 67213 | 2006-04-05 |
| 1427361385 | Ryan Carl Emrick | Optometrist | 1202 W Maple St, Wichita, KS 67213 | 2010-07-21 |
| Find all providers in zip 67213 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891396974 | Kim Deann Kercher | Physical Therapist | Legacy At Grassland Estates, 10665 W 13th St N Apt 329, Wichita, KS 67212 | 2020-11-04 |
| 1588282982 | Ashley Janae Sevart | Physical Therapist | 2300 N Tyler Rd, Wichita, KS 67205-8766 | 2020-07-12 |
| 1376168294 | Bayli Ann Palmer | Physical Therapist | 10333 E 21st St N Ste 406, Wichita, KS 67206-3547 | 2020-06-16 |
| 1376176107 | Natural Wellness Physiotherapy | Physical Therapist | 11444 E Central Ave, Wichita, KS 67206-2805 | 2020-02-20 |
| 1629618095 | Sahar Eshghi | Physical Therapist | 664 N Stratford Ln, Wichita, KS 67206-1530 | 2020-01-13 |
| 1063071306 | Kyle Waits | Physical Therapist | 2243 S Meridian Ave Ste 109, Wichita, KS 67213-1911 | 2019-06-11 |
| 1851875298 | Kalie Dickman | Physical Therapist | 6505 E 37th St N Ste 300, Wichita, KS 67226-3233 | 2018-09-21 |
| 1174006613 | Courtney Dawn Simon | Physical Therapist | 9360 E Central Ave Ste 100, Wichita, KS 67206 | 2018-09-11 |
| 1649764887 | Matthew Bradford Jenkins | Physical Therapist | 7728 W Central Park St, Wichita, KS 67205-1630 | 2018-06-20 |
| 1801386891 | Adam William Veenis | Physical Therapist | 7340 W 21st St N Ste 100, Wichita, KS 67205-1770 | 2018-05-15 |
| Find all providers in WICHITA | ||||
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| 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.