Provider Demographics
NPI:1669403671
Name:PREFERRED PT SCHNITTA LLC
Entity type:Organization
Organization Name:PREFERRED PT SCHNITTA LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:M
Authorized Official - Last Name:KARCHER
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:9133-810-6209
Mailing Address - Street 1:9150 GLENWOOD ST
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66212-1364
Mailing Address - Country:US
Mailing Address - Phone:913-381-0609
Mailing Address - Fax:913-381-2646
Practice Address - Street 1:200 W DOUGLAS AVE
Practice Address - Street 2:STE 1040
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67202-3013
Practice Address - Country:US
Practice Address - Phone:316-263-0003
Practice Address - Fax:316-263-1241
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-06
Last Update Date:2007-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS11-02450225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KST050000Medicare PIN