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General NPI Number Information
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NPI Number | 1891226718
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Entity Type | Organization
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Legal Business Name | SUMMIT PHYSICAL THERAPY, LLC
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Dates
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Enumeration Date | 03/22/2017
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Last Update Date | 08/15/2024
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Provider Practice Location Address
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Address Line | 9330 E CENTRAL AVE STE 300
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City | WICHITA
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State | KS
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Zip | 67206-2561
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Country | US
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Telephone | 316-358-7665
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Fax | 833-979-3632
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Provider Business Mailing Address
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Address Line | 9330 E CENTRAL AVE STE 300
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City | WICHITA
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State | KS
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Zip | 67206-2561
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Country | US
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Telephone | 316-358-7665
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Fax | 833-979-3632
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Authorized Official
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Title or Position | OWNER/PHYSICAL THERAPIST
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Name | DR. HEATHER MARIE ROGERS
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Credential | PT, MPT, DPT
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Telephone | 316-358-7665
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 11-03129
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License Number State | KS
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