Western Legacy Physical Therapy, LLC
NPI 1790674802 · Physical Therapy Clinic/Center · Cimarron, KS
Enrolled with Medicare as Part B Supplier - Physical/Occupational Therapy Group in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Western Legacy Physical Therapy, LLC is a Physical Therapy Clinic/Center organization in Cimarron, KS (NPI 1790674802).
Provider details
- NPI number
- 1790674802
- Entity type
- Organization
- Primary specialty
- Physical Therapy Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Brooke Fairbank, Physical Therapist, Owner(620) 855-6060
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
Mailing address
Registry dates
- Enumerated
- 2025-07-02
- Last updated
- 2025-07-24
- Certified
- 2025-07-24
Frequently asked questions
- What is Western Legacy Physical Therapy, LLC's NPI number?
- Western Legacy Physical Therapy, LLC's National Provider Identifier (NPI) is 1790674802, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Western Legacy Physical Therapy, LLC?
- Western Legacy Physical Therapy, LLC is classified in the NPPES registry as Physical Therapy Clinic/Center (Ambulatory Health Care Facilities).
- Where is Western Legacy Physical Therapy, LLC located?
- Western Legacy Physical Therapy, LLC's practice location on file with NPPES is 700 West Avenue a, Cimarron, KS 67835.
- What is Western Legacy Physical Therapy, LLC's phone number?
- The practice phone number listed in the NPPES registry for Western Legacy Physical Therapy, LLC is (620) 855-6060.
- Does Western Legacy Physical Therapy, LLC accept Medicare?
- Western Legacy Physical Therapy, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Western Legacy Physical Therapy, LLC?
- The authorized official listed on Western Legacy Physical Therapy, LLC's NPPES record is Brooke Fairbank, Physical Therapist, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Western Legacy Physical Therapy, LLC's NPI active?
- Yes — Western Legacy Physical Therapy, LLC's NPI (1790674802) is active in the NPPES registry as of the last update on 2025-07-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.