| Evan Crenshaw, | |
|
513 E 16th St, Wellington, KS 67152-2802 | |
| (620) 968-3134 | |
| Not Available |
| Full Name | Evan Crenshaw |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 3 Years |
| Location | 513 E 16th St, Wellington, 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 |
|---|---|---|---|
| 1134810351 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 11-07351 (Kansas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Advanced Pt Llc | 3678524709 | 79 |
| Provider Name | Advanced Pt Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1780616789 PECOS PAC ID: 3678524709 Enrollment ID: O20060222000723 |
| Mailing Address | Practice Location Address |
|---|---|
| Evan Crenshaw, 200 W Douglas Ave Ste 250, Wichita, KS 67202-3002 Ph: (316) 263-0003 | Evan Crenshaw, 513 E 16th St, Wellington, KS 67152-2802 Ph: (620) 968-3134 |
Austin Dee Jones, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 513 E 16th St, Wellington, KS 67152 Phone: 620-968-3134 Fax: 620-968-3135 | |
Ashley Brooke Johnson, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 513 E 16th St, Wellington, KS 67152 Phone: 620-968-3134 Fax: 620-968-3135 | |
Mrs. Heather Dawn Stone, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 560 N Ridge Rd, Wellington, KS 67152 Phone: 316-295-0984 Fax: 316-368-3112 | |
Ryan Godfrey, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 513 E 16th St, Wellington, KS 67152 Phone: 620-968-3134 | |
Mr. Justin Corbin Mitchell, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1323 N A St, Wellington, KS 67152 Phone: 620-399-1241 Fax: 620-399-1296 |