OrganizationAdvanced Physical Therapy Pa(<Unavail>)Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address4515 E Central Ave, Ste A, Wichita, KS 67208-3915(316) 260-6869(316) 263-0003PECOS EnrollmentBased on the most recent information from CMS, provider Advanced Physical Therapy Pa 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 ID1295821023Provider TypeOrganizationFull NameAdvanced Physical Therapy PaOther Name<Unavail>SubpartNoEnumeration Date10/5/2006Last Updated9/17/2014Contact InformationPractice LocationPractice Address4515 E Central Ave, Ste A, Wichita, KS 67208-3915Phone(316) 260-6869Fax(316) 260-6872Mailing LocationMailing Address200 W. Douglas Ave, Ste 1040, Wichita, KS 67208-3915Phone(316) 263-0003Fax(316) 263-1241Authorized OfficialNameTodd, David C (Owner)Phone(316) 260-6869Provider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseUnlisted IssuerCode225X00000XDescriptionOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseUnlisted IssuerCode332B00000XDescriptionDurable Medical Equipment & Medical SuppliesSuppliersLicenseUnlisted Issuer