Individual ProviderNazanin NejatiPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address545 N Carriage Pkwy, Wichita, KS 67208-4506(316) 612-4900(913) 271-5397PECOS EnrollmentBased on the most recent information from CMS, provider Nazanin Nejati does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1023551132Provider TypeIndividualFull NameNejati, NazaninGenderFemaleSole ProprietorNoEnumeration Date11/21/2016Last Updated11/21/2016Contact InformationPractice LocationPractice Address545 N Carriage Pkwy, Wichita, KS 67208-4506Phone(316) 612-4900FaxUnlisted FaxMailing LocationMailing Address2909 N Oliver St Apt 933, Wichita, KS 67220-2980Phone(913) 271-5397FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense11-05500Kansas