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

Samantha Marie Wyatt, PTA

Individual provider Physical Therapy Assistant · NPI 1811693443

Samantha Marie Wyatt, PTA is an Undefined Non-Physician Type (Specify) in Wichita, Kansas. Qualified in 2020, 6 years ago. Licensed in Kansas.

Years since qualifying
6
Licensed in
KS
In the registry since
2023
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

2243 S Meridian Ave Ste 105
Wichita, KS 67213-1911
Phone: (316) 942-5448
Fax: (316) 945-5694
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 14-03763 (KS)

Record details

NPI number1811693443
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedFebruary 6, 2023
Last updated in NPPESFebruary 6, 2023
Certification dateFebruary 6, 2023

Medicare enrollment

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

Medicare specialtyUNDEFINED NON-PHYSICIAN TYPE (SPECIFY)
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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