Provider Demographics
NPI:1891789285
Name:SCHROTT, LELA A (PT)
Entity Type:Individual
Prefix:MS
First Name:LELA
Middle Name:A
Last Name:SCHROTT
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1999 N AMIDON
Mailing Address - Street 2:SUITE 100
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67203
Mailing Address - Country:US
Mailing Address - Phone:316-262-8800
Mailing Address - Fax:620-708-4022
Practice Address - Street 1:1999 N AMIDON
Practice Address - Street 2:SUITE 100
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67203
Practice Address - Country:US
Practice Address - Phone:316-262-8800
Practice Address - Fax:620-708-4022
Is Sole Proprietor?:No
Enumeration Date:2005-08-31
Last Update Date:2017-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1102124225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS140908OtherBLUE CROSS BLUE SHIELD
KS200317380AMedicaid
KS8891OtherPERFERRED PLUS OF KANSAS
KS203178OtherHEALTH PARTNERS
KS140908Medicare ID - Type Unspecified