Provider Demographics
NPI:1316157506
Name:DIXIT, SAPANA (RPT)
Entity type:Individual
Prefix:MRS
First Name:SAPANA
Middle Name:
Last Name:DIXIT
Suffix:
Gender:F
Credentials:RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5500 E. KELLOGG AVE
Mailing Address - Street 2:VA MEDICAL CENTER
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67218
Mailing Address - Country:US
Mailing Address - Phone:888-878-6881
Mailing Address - Fax:620-423-1535
Practice Address - Street 1:5500 E KELLOGG
Practice Address - Street 2:ROBERT J DOLE VA MEDICAL CENTER
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67218
Practice Address - Country:US
Practice Address - Phone:888-878-6881
Practice Address - Fax:620-423-1538
Is Sole Proprietor?:No
Enumeration Date:2007-05-23
Last Update Date:2010-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS11-03194225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS200364610AMedicaid
KS140888Medicare ID - Type UnspecifiedPHYSICAL THERAPY