Individual ProviderFarah GohariPhysical 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 Farah Gohari 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 ID1689649188Provider TypeIndividualFull NameGohari, FarahCredentialRPTGenderFemaleSole 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 Parkway, Wichita, KS 67208-4506Phone(316) 612-4900Fax(316) 612-4999Provider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense1102277KansasProvider IdentifiersIDDescriptionIssuerID100336410BDescriptionMedicaidIssuerUnlistedKansas