| Innovative Physical Therapy | |
|
545 N. Carriage Parkway, Wichita, KS 67208-4506 | |
| (316) 612-4900 | |
| (316) 612-4999 |
| Full Name | Innovative Physical Therapy |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 545 N. Carriage Parkway, Wichita, Kansas |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346372588 | NPI | - | NPPES |
| 100336410B | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 1102277 (Kansas) | Primary |
| 225100000X | Physical Therapist | 1103492 (Kansas) | Secondary |
| Provider Name | Nicholas Notario |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366417768 PECOS PAC ID: 7315040409 Enrollment ID: I20070309000417 |
| Provider Name | Farah M Gohari |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689649188 PECOS PAC ID: 0446213516 Enrollment ID: I20120306000549 |
| Provider Name | Taylor Upshaw |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1417718412 PECOS PAC ID: 0345684023 Enrollment ID: I20240221002390 |
| Mailing Address | Practice Location Address |
|---|---|
| Innovative Physical Therapy 545 N. Carriage Parkway, Wichita, KS 67208-4506 Ph: (316) 612-4900 | Innovative Physical Therapy 545 N. Carriage Parkway, Wichita, KS 67208-4506 Ph: (316) 612-4900 |
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: Medicare Enrolled 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: Accepting Medicare Assignments Practice Location: 11120 E 26th St N, Ste 1300, Wichita, KS 67226 Phone: 316-858-1177 Fax: 316-858-1178 | |
Jason Tejano, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 4515 E Central Ave Ste A, Wichita, KS 67208 Phone: 316-260-6869 | |
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 |