OrganizationActive
Industrial and Sports Rehab, LLC
NPI 1508993692 · Physical Therapist · Wichita, KS
Provider details
- NPI number
- 1508993692
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Kelly Sampson, Administrative Manager(316) 946-0086
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4415 W Zoo Blvd
Wichita, KS 67212-1601
Phone: (316) 943-6282
Fax: (316) 943-6189
Street-level locationGet directions
Mailing address
4415 W Zoo Blvd
Wichita, KS 67212-1601
Registry dates
- Enumerated
- 2007-02-27
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.