Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dane Michael Stark, PT

Individual provider Physical Therapist · NPI 1114904083

Dane Michael Stark, PT is a Physical Therapist in Private Practice in Wichita, Kansas. Qualified in 1988, 38 years ago. Practices with Mid-America Orthopedics LLC, a 34-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Kansas and Missouri.

Years since qualifying
38
Licensed in
KS, MO
In the registry since
2005
Specialties on file
2
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

1923 N Webb Rd
Wichita, KS 67206-3405
Phone: (316) 262-4886
Fax: (316) 262-4887
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2348 W Central Ave Ste B, El Dorado, KS 67042-3465 — (316) 452-5033

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 1101792 (KS)
Physical Therapist Taxonomy 225100000X · Licence 01968 (MO)

Record details

NPI number1114904083
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedDecember 30, 2005
Last updated in NPPESMarch 18, 2026
Certification dateMarch 18, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1988 (38 years in practice)
Group practice Mid-America Orthopedics Llc — 34 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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