Individual provider Active NPI

Jill D Austin, PT

  • Physical Therapist
  • Wichita, KS
National Provider Identifier
1003890260
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11-02955 Issued in KS
Practice address
11120 E 26TH St N
Ste 1300
Wichita, KS 67226-4603
Phone
(316) 858-1177
Fax
(316) 858-1178
NPI assigned
Dec 1, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 11-02955 KS Primary

Addresses

Primary practice location

11120 E 26TH St N
Ste 1300
Wichita, KS 67226-4603

Mailing address

1115 N Post Oak Rd
Wichita, KS 67206-3831
Phone (316) 858-1177

Other identifiers 2

IdentifierTypeStateIssuer
30-0192702OtherKSTAX ID #
200268930AMedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040625001035 KS Practitioner - Physical Therapist in Private Practice 7719963172 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physical Therapy Services at Cypress LLCGroup PAC ID 5294702122, 6 clinicians

Practice addresses (Care Compare)

11120 E 26TH St N
1300 Core Physical Therapy LLC
Wichita, KS 67226-4603
Phone (316) 858-1177

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11-02955KSMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Theracare, LLC Physical Therapist Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1133395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1003890260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 N POST OAK RD",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672063831",
            "telephone_number": "316-858-1177",
            "fax_number": "315-858-1178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11120 E 26TH ST N",
            "address_2": "STE 1300",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672264603",
            "telephone_number": "316-858-1177",
            "fax_number": "316-858-1178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUSTIN",
        "first_name": "JILL",
        "middle_name": "D",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-01",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "11-02955",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID #",
            "identifier": "30-0192702",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200268930A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.