| Brent Alan Ehresman, DPT | |
|
750 N Socora St Ste 200, Wichita, KS 67212-3794 | |
| (316) 260-3311 | |
| Not Available |
| Full Name | Brent Alan Ehresman |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 4 Years |
| Location | 750 N Socora St Ste 200, Wichita, Kansas |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750965315 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 225100000X | Physical Therapist | T-05496 (Kansas) | Secondary |
| 225100000X | Physical Therapist | 11-06784 (Kansas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Phoenix Physical Therapy Llc | 3779914544 | 38 |
| Provider Name | Premier Physical Therapy, Pa |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1699005645 PECOS PAC ID: 5193854503 Enrollment ID: O20161028000783 |
| Provider Name | Phoenix Physical Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1487287082 PECOS PAC ID: 3779914544 Enrollment ID: O20200511002753 |
| Mailing Address | Practice Location Address |
|---|---|
| Brent Alan Ehresman, DPT 12627 E Central Ave Ste 308, Wichita, KS 67206-2839 Ph: (316) 260-3311 | Brent Alan Ehresman, DPT 750 N Socora St Ste 200, Wichita, KS 67212-3794 Ph: (316) 260-3311 |
Alice Chiedzo Hakata, PT. MED. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2828 N. Governeour, Larksfield Place, Wichita, KS 67226 Phone: 316-636-1111 Fax: 316-858-3971 | |
Caroline Geisler, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2757 S Seneca St Ste B, Wichita, KS 67217 Phone: 316-260-3311 Fax: 316-260-6696 | |
Samuel Page, DPT, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 929 N Saint Francis Ave, Wichita, KS 67214 Phone: 316-268-5000 | |
Jill D Austin, PT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 11120 E 26th St N, Ste 1300, Wichita, KS 67226 Phone: 316-858-1177 Fax: 316-858-1178 | |
Caitlyn Garrison, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3223 N Oliver St, Wichita, KS 67220 Phone: 316-267-5437 | |
Mr. Jay Franz, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 8620 E 34th St N, Wichita, KS 67226 Phone: 316-630-0388 Fax: 316-630-0390 | |
Susan O Scholl, L.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5500 E Kellogg Dr, Wichita, KS 67218 Phone: 316-634-3040 |