SYDNEY C WADE (PT) – Physical Therapist, NPI 1508674367

SYDNEY C WADE (PT) is a healthcare provider. based in Prairie village, Kansas. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. 11-07750 (KS). The NPI Number for SYDNEY C WADE (PT) is 1508674367

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
SYDNEY C WADE (PT)
NPI
1508674367
Phone
(913) 224-2990
Address
5200 W 94TH TER STE 112
Enumeration Date
26 December 2024
Last Update Date
26 December 2024

Doctor Profile

Medical School Name
TEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE
Secondary Phone
9132242990
Graduation Year
2024 (2 years ago)
PAC ID
3375072317
Group Practice PAC ID
4587085576
Professional Enrollment ID
I20250121002317
Address ID
KS662072534PR5200XTERX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

1,046 PHYSICAL THERAPIST IN PRIVATE PRACTICE in KS

Provider Addresses for SYDNEY C WADE (PT)

  • 5200 W 94TH TER STE 112

    PRAIRIE VILLAGE, KS 662072534

    Phone: (913) 224-2990

    Fax: (913) 224-2992

    Mailing address matches the actual address.

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: 2025-01-21

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
I20250121002317IPhysical 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 66207)

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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: 4587085576View full group profile
NameSpecialtyState
-KS
Physical Therapist In Private PracticeKS
Physical Therapist In Private PracticeKS
Physical Therapist In Private PracticeMO
Physical Therapist In Private PracticeKS
Physical Therapist In Private PracticeKS
Physical Therapist In Private PracticeKS

Reviews

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Frequently asked questions

Can I verify SYDNEY C WADE (PT) with an NPI only?
You can start verification with NPI 1508674367 for SYDNEY C WADE (PT), then check state licensing separately.
Is SYDNEY C WADE (PT) listed as active for patients and plans?
The listing shows SYDNEY C WADE (PT) as active in the NPI system.
What healthcare role does SYDNEY C WADE (PT) hold?
Scheduling teams often label SYDNEY C WADE (PT) under Physical Therapist. Clinical services aligned with this taxonomy classification.
Where should I expect SYDNEY C WADE (PT) on a map?
Expect Prairie Village, Kansas as a primary anchor for SYDNEY C WADE (PT) unless the record lists multiple sites.
Why does SYDNEY C WADE (PT) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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