Kennedy Weaver
NPI 1962241331ActiveIndividual· Physical Therapist· Wichita, KS
Physical Therapist with Advanced PT LLC and 1 other group, practicing in Wichita, Kansas. Medicare paid $29,797 for services to 98 patients in 2024.
Overview
| NPI | 1962241331 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | May 23, 2024 |
| Last updated in NPPES | May 23, 2024 |
| Certified by provider | May 23, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 11-07596 | KS |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (KS) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 98 |
|---|---|
| Services billed | 1,446 across 7 procedure codes |
| Paid by Medicare | $29,797 |
Education and affiliations
| Graduation year | 2024 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical groups
- Advanced PT LLCHutchinson, KS · 84 clinicians
- Newton Healthcare CorporationNewton, KS · 64 clinicians
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