Active NPI
Adrian Nethercot, PTA
- Physical Therapy Assistant
- Hillsboro, KS
National Provider Identifier
1063108389
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 14-03878
- Practice address
- 200 Willow Rd
Hillsboro, KS 67063-1939 - Phone
- (620) 947-2301
- NPI assigned
- Apr 11, 2023
- Last updated
- Apr 13, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 14-03878 | KS | Primary |
Addresses
Primary practice location
200 Willow Rd
Hillsboro, KS 67063-1939
Mailing address
225 Windward Dr
Newton, KS 67114-5420
Phone (316) 204-8567
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14-03878 | KS | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681344000000",
"number": "1063108389",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 WINDWARD DR",
"city": "NEWTON",
"state": "KS",
"postal_code": "671145420",
"telephone_number": "316-204-8567"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 WILLOW RD",
"city": "HILLSBORO",
"state": "KS",
"postal_code": "670631939",
"telephone_number": "620-947-2301"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NETHERCOT",
"first_name": "ADRIAN",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-04-11",
"last_updated": "2023-04-13",
"certification_date": "2023-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "KS",
"license": "14-03878",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hillsboro, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.