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

Justin Tangney

Individual provider Physical Therapist · NPI 1669213609

Justin Tangney is a Physical Therapist in Private Practice in Wichita, Kansas. Qualified in 2024, 2 years ago. Practices with Advanced PT LLC, a 84-clinician group and accepts Medicare assignment. Licensed in Kansas.

Years since qualifying
2
Licensed in
KS
In the registry since
2024
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Practice location Address checks out

834 N Socora St Ste 1
Wichita, KS 67212-3278
Phone: (316) 440-3731
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 11-07597 (KS)

Record details

NPI number1669213609
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 4, 2024
Last updated in NPPESJune 4, 2024
Certification dateJune 4, 2024

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Advanced Pt Llc — 84 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Wichita