Individual ProviderNicholas R NotarioPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address545 N Carriage Pkwy, Wichita, KS 67208-4506(316) 612-4900PECOS EnrollmentBased on the most recent information from CMS, provider Nicholas R Notario 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 ID1366417768Provider TypeIndividualFull NameNotario, Nicholas RTitleMr.CredentialRPTGenderMaleSole ProprietorNoEnumeration Date2/20/2006Last Updated8/19/2008Contact InformationPractice LocationPractice Address545 N Carriage Pkwy, Wichita, KS 67208-4506Phone(316) 612-4900Fax(316) 612-4999Mailing LocationMailing Address545 N Carriage Pkwy, Wichita, KS 67208-4506Phone(316) 612-4900Fax(316) 612-4999Provider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense1103492Kansas