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NPI Code Detail

MEDICARE: PREFERRED PT, LLC

MEDICARE: PREFERRED PT, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist
2225X00000XOccupational Therapist
3261QP2000XPhysical Therapy Clinic/Center

General Provider Information

NPI Number : 1598332447
Entity Type Code : Organization
Provider Name (Legal Business Name) : PREFERRED PT, LLC
Provider Business Mailing Address
First Line : 200 W DOUGLAS AVE STE 1040
Second Line :
City : WICHITA
State : KS
Zip : 67202-3017
Country : US
Telephone Number : 316-263-0003
Fax Number : 316-263-0003
Provider Business Practice Location Address
First Line : 8437 STATE AVE STE B
Second Line :
City : KANSAS CITY
State : KS
Zip : 66112-1851
Country : US
Telephone Number : 913-299-9616
Fax Number : 913-299-9617
Authorized Official
Title or Position : CEO
Name : KAREN E WILSON
Credential : PT
Telephone Number : 316-263-0003
Provider Enumeration Date : 06/09/2021
Last Update Date : 11/28/2022

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Directions to “PREFERRED PT, LLC ” Practice Location

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