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

Kyrsa Inthavongsay

Individual provider Physical Therapist · NPI 1487480430

Kyrsa Inthavongsay is a Physical Therapist in Private Practice in Wichita, Kansas. Graduated from University of Kansas School of Med (KC/WICH/SAL) 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
Trained at
University of Kansas School of Med (KC/WICH/SAL)
Licensed in
KS
In the registry since
2024
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Practice location Address checks out

2243 S Meridian Ave Ste 105
Wichita, KS 67213-1911
Phone: (316) 942-5448
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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 11-07720 (KS)

Record details

NPI number1487480430
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 9, 2024
Last updated in NPPESSeptember 13, 2024
Certification dateSeptember 13, 2024

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolUNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Graduated 2024 (2 years in practice)
Group practice Advanced Pt Llc — 84 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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