Healthcare Provider Details

I. General information

NPI: 1922928514
Provider Name (Legal Business Name): COLE BUNCE PT, DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/15/2026
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17800 W 106TH ST
OLATHE KS
66061-2882
US

IV. Provider business mailing address

1714 CANTERBURY RD
RALEIGH NC
27608-1110
US

V. Phone/Fax

Practice location:
  • Phone: 913-228-2864
  • Fax:
Mailing address:
  • Phone: 855-749-7461
  • Fax: 316-389-2010

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number11-07260
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: