Janelle R Petrisor

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1106278 Issued in KS

Practice address

3460 N Ridge Rd Ste 80
Wichita, KS 67205-1223

Phone

(316) 202-0340

Fax

(316) 202-0341

NPI assigned

Aug 21, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sports Med Denton LLCGroup PAC ID 9638144439, 9 clinicians

Ortholonestar PLLCGroup PAC ID 9931529062, 416 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: janelle.petrisor.1@15533.direct.athenahealth.com

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.

• Ortholonestar, PLLC

  • Orthopaedic Surgery Physician
  • Houston, TX
  • NPI 1942860176
  Medicare reassignment Care Compare group NPD
• Sports Med Denton LLC

  • Physical Therapy Clinic/Center
  • Denton, TX
  • NPI 1225073521

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Ortholonestar, PLLC

  • Orthopaedic Surgery Physician
  • Tomball, TX
  • NPI 1073475679
  NPD
• Advanced PT, LLC

  • Physical Therapy Clinic/Center
  • Wichita, KS
  • NPI 1043805492
  NPD (past)

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

{
    "created_epoch": "1566345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566345600000",
    "number": "1124675574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W DOUGLAS AVE STE 1040",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672023017",
            "telephone_number": "316-263-0003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3460 N RIDGE RD STE 80",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672051223",
            "telephone_number": "316-202-0340",
            "fax_number": "316-202-0341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETRISOR",
        "first_name": "JANELLE",
        "middle_name": "R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-21",
        "last_updated": "2019-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "1106278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan S Peterson
• Patricia Petrakis, MD
• Shannon Petricek, LMFT
• David Earl Petrie, MD
• Kevin T. Petrie, D.D.S.
• Juliana M Petro
• Mary Pettiette, OT
• David A Petty I, PTA
• Chelsea Peyton, AUD, CCC-A, FAAA
• Deena Lynn Pfanenstiel, RN

• Physical Therapist in Wichita, KS
• Providers in Wichita, KS by specialty
• Physical Therapist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2019; 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.