Provider Demographics
NPI:1952409070
Name:BEST, GARY AUSTIN (PT)
Entity Type:Individual
Prefix:MR
First Name:GARY
Middle Name:AUSTIN
Last Name:BEST
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:13506 SW K4 HWY
Mailing Address - Street 2:
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66610-9703
Mailing Address - Country:US
Mailing Address - Phone:785-256-6479
Mailing Address - Fax:
Practice Address - Street 1:1119 SW GAGE BLVD
Practice Address - Street 2:STE B
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66604-1774
Practice Address - Country:US
Practice Address - Phone:785-271-1771
Practice Address - Fax:785-271-1771
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2012-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS11-0422225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS012617OtherBLUE CROSS BLUE SHIELD
KS481061126OtherTRIWEST
KS650004449OtherRAILROAD MEDICARE
KS143843800OtherDEP'T OF LABOR
KS012617OtherMEDICARE PTAN