LAURIE EBENKAMP (RPT) – Physical Therapist, NPI 1033243795

LAURIE EBENKAMP (RPT) is a healthcare provider. based in Wichita, Kansas. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials RPT. They hold a License No. 1101587 (KS). The NPI Number for LAURIE EBENKAMP (RPT) is 1033243795

Main info

Female
37 Years Of Experience
Accepts Medicare Assignment
Name
LAURIE EBENKAMP (RPT)
NPI
1033243795
Phone
(316) 517-7455
Address
1 CESSNA BLVD
Enumeration Date
15 March 2007
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3165506132
Graduation Year
1989 (37 years ago)
PAC ID
9133488836
Group Practice PAC ID
1456578426
Professional Enrollment ID
I20180125000194
Address ID
KS670267829CL501XXSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,046 PHYSICAL THERAPIST IN PRIVATE PRACTICE in KS

Provider Addresses for LAURIE EBENKAMP (RPT)

  • 1 CESSNA BLVD

    WICHITA, KS 672151400

    Phone: (316) 517-7455

    Type: Location

  • 465 W 90TH AVE N

    CONWAY SPRINGS, KS 670318020

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-01-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180125000194IPhysical Therapist In Private PracticeKSTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 67215)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1456578426View full group profile
NameSpecialtyState
-KS
-KS
Physical Therapist In Private PracticeKS
Physical Therapist In Private PracticeKS
Physical Therapist In Private PracticeKS
-KS
Physical Therapist In Private PracticeKS
Physical Therapist In Private PracticeKS
Physical Therapist In Private PracticeKS
-KS

Reviews

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Frequently asked questions

What federal number belongs to LAURIE EBENKAMP (RPT)?
The federal identifier for LAURIE EBENKAMP (RPT) is NPI 1033243795.
Does this profile mean LAURIE EBENKAMP (RPT) is currently active?
Yes — LAURIE EBENKAMP (RPT) appears active in the national provider directory.
Does LAURIE EBENKAMP (RPT) list a primary specialty?
If you are matching referrals, note Physical Therapist for LAURIE EBENKAMP (RPT). Clinical services aligned with this taxonomy classification.
Does LAURIE EBENKAMP (RPT) practice in Kansas?
You will see Wichita, Kansas on file for LAURIE EBENKAMP (RPT) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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