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OSTEOPRACTIC PHYSICAL THERAPY CLINIC OF WICHITA LLC
NPI 1396493102
Physical Therapist - Orthopedic in Wichita, KS

Active since March 11, 2022
804 S OLIVER AVE, WICHITA, KS 67218(316) 779-4110(316) 330-7019 Get Directions Write a Review

NPPES record last updated: February 4, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 4, 2025, Mar 11, 2022 (2 updates tracked since 2022).

About Osteopractic Physical Therapy Clinic Of Wichita Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OSTEOPRACTIC PHYSICAL THERAPY CLINIC OF WICHITA LLC (NPI 1396493102) is a healthcare organization registered as an orthopedic in Wichita, Kansas and active in the NPI registry since March 2022. The organization maintains a secondary practice location in Wichita and lists Reine Nola, Owner, as its authorized official.

NPPES Registry Identity

NPI1396493102
Entity TypeOrganization
Primary Taxonomy2251X0800X
Legal Business NameOSTEOPRACTIC PHYSICAL THERAPY CLINIC OF WICHITA LLC
Location Address804 S OLIVER AVEWichita, KS 67218-2329
Mailing Address9 N Cypress DrWichita, KS 67206-2501 · (316) 304-1924
Phone(316) 779-4110
Fax(316) 330-7019
Organization SubpartNo
Authorized OfficialReine NolaOwner · (316) 779-4110
Enumeration DateMarch 11, 2022
Last NPPES UpdateFebruary 4, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 4, 2025
✔ NPI 1396493102 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · OrthopedicRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251X0800X
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.
804 S OLIVER AVE, Wichita, KS 67218
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Secondary Practice Location 1

Location 11431 S Bluffview Dr Ste 116Wichita, KS 67218-3039 · Phone (316) 779-4110

Other Identifiers 1

Medicaid201357980AKS

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Osteopractic Physical Therapy Clinic Of Wichita Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Osteopractic Physical Therapy Clinic Of Wichita LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Reine Nola, D.P.T.
Physical Therapist in Private Practice
NPI 1053733436
804 S OLIVER AVE
Wichita, KS 67218
(316) 779-4110
✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Osteopractic Physical Therapy Clinic Of Wichita LLC's NPI number?

The NPI number for Osteopractic Physical Therapy Clinic Of Wichita LLC is 1396493102. It was assigned to this organization in the NPPES registry on March 11, 2022.

Where is Osteopractic Physical Therapy Clinic Of Wichita LLC located?

Osteopractic Physical Therapy Clinic Of Wichita LLC is located at 804 S Oliver Ave, Wichita, KS 67218. The listed phone number is (316) 779-4110.

What is Osteopractic Physical Therapy Clinic Of Wichita LLC's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.

Is Osteopractic Physical Therapy Clinic Of Wichita LLC enrolled in Medicare?

Yes. Osteopractic Physical Therapy Clinic Of Wichita LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Osteopractic Physical Therapy Clinic Of Wichita LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Physical Therapist in Private Practice) reassigns their Medicare billing to Osteopractic Physical Therapy Clinic Of Wichita LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Osteopractic Physical Therapy Clinic Of Wichita LLC was last updated on February 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.