Individual ProviderJeffrey S WyssenbachPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address5111 E 21st St N, Wichita, KS 67208-1606(316) 688-1888PECOS EnrollmentBased on the most recent information from CMS, provider Jeffrey S Wyssenbach 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 ID1558187740Provider TypeIndividualFull NameWyssenbach, Jeffrey SCredentialPTGenderMaleSole ProprietorNoEnumeration Date12/3/2024Last Updated6/17/2025Contact InformationPractice LocationPractice Address5111 E 21st St N, Wichita, KS 67208-1606Phone(316) 688-1888Fax(316) 652-1542Mailing LocationMailing Address5111 E 21st St N, Wichita, KS 67208-1606Phone(316) 688-1888Fax(316) 652-1542Provider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense1103890Kansas