PERSONAL IMAGE INC. (NPI# 1083668024) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083668024 |
| Entity Type | Organization |
| Organization Name | PERSONAL IMAGE INC. |
| Practice Address |
1905 N Maize Rd Wichita KS 67212-5203 |
| Practice Telephone | 3162608260 |
| Practice Fax Number | 3162608266 |
| Mailing Telephone | 3162608260 |
| Mailing Fax Number | 3162608266 |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2008-04-10 |
| Authorized Official Name | MRS. MARY ANNA ROBERTS (PERSIDENT) |
| Authorized Official Telephone | 3162608260 |
| Authorized Official Credential | RFM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | CFM00705 | KS | Suppliers |
| Street Address |
1905 N MAIZE RD |
| City | WICHITA |
| State | KS |
| Zip Code | 67212-5203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891396974 | Kim Deann Kercher | Physical Therapist | Legacy At Grassland Estates, 10665 W 13th St N Apt 329, Wichita, KS 67212 | 2020-11-04 |
| 1700370954 | Andrea Lou Wheeler | Registered Nurse | 658 N Fairway Ave, Wichita, KS 67212 | 2018-06-20 |
| 1568981231 | Wichita Family Dental LLC | Dentist | 1445 N. Ridge Rd, Wichtia, KS 67212 | 2017-09-14 |
| 1396260121 | Keegan Hemberger | Pharmacist | 555 N. Maize Road, Wichita, KS 67212 | 2017-08-14 |
| 1154877603 | Alicia Rose Landrum | Counselor | 515 N Ridge Rd Ste 105, Wichita, KS 67212 | 2016-08-25 |
| 1306218920 | Brandee Young | Occupational Therapist | 9710 W. Jamesburg, Wichita, KS 67212 | 2015-10-22 |
| 1588072201 | Michelle Kuhn | Pharmacist | 10515 W Central, Wichita, KS 67212 | 2014-07-25 |
| 1972914083 | Linda Mueller Mueller | Marriage & Family Therapist | 4425 West Zoo Blvd, Wichita, KS 67212 | 2014-05-12 |
| 1619392305 | Jessica Smith | Counselor | 1319 W May, Wichita, KS 67212 | 2014-03-04 |
| 1245652064 | Keepsake Kottage, LLC | Custodial Care Facility | 8801 W Bekemeyer, Wichita, KS 67212 | 2014-01-14 |
| Find all providers in zip 67212 | ||||
| Taxonomy Code | 335E00000X |
| Grouping | Suppliers |
| Classification | Prosthetic/Orthotic Supplier |
| An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073742128 | Size and Fit, LLC | Prosthetic/Orthotic Supplier | 1720 N Webb Rd, Suite 110, Wichita, KS 67206-3417 | 2009-07-10 |
| 1013164706 | Aleta's Bras & Lingerie | Prosthetic/Orthotic Supplier | 5601 E Central Ave, Suite A, Wichita, KS 67208-4245 | 2008-08-25 |
| 1255520870 | Peeples Orthotics & Prosthetics | Prosthetic/Orthotic Supplier | 5400 E Central Avenue, Suite 120, Wichita, KS 67208-4100 | 2007-10-19 |
| 1033242243 | Karin Maj Rieger | Prosthetic/Orthotic Supplier | 3107 E Central, Wichita, KS 67214 | 2007-03-14 |
| 1104963453 | The Wig Lady | Prosthetic/Orthotic Supplier | 4017 W 13th, Wichita, KS 67212 | 2007-01-30 |
| 1992719330 | Cornell Orthotics & Prosthetics Entp. LLC | Prosthetic/Orthotic Supplier | 6108 W Central Ave, Wichita, KS 67212-2844 | 2006-07-29 |
| 1467479899 | Jwm Medical Inc | Prosthetic/Orthotic Supplier | 9727 E Shannon Woods Cir, Suite 180, Wichita, KS 67226-4102 | 2006-07-15 |
| 1669441796 | Capitol Orthopedic Inc. | Prosthetic/Orthotic Supplier | 9727 Shannon Woods Ste 140, Wichita, KS 67226-4102 | 2006-03-14 |
| 1215905609 | Progressive Orthotic & Prosthetic Services, Inc. | Prosthetic/Orthotic Supplier | 1150 N Saint Francis St, Wichita, KS 67214 | 2006-03-10 |
| 1093711244 | Peeples Orthotics & Prosthetics LLC | Prosthetic/Orthotic Supplier | 7570 W 21st St N, Ste 1026b, Wichita, KS 67205-1734 | 2005-06-22 |
| Find all providers in WICHITA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.