Jesica Lynn Fitzwilliams, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

11-04513 Issued in KS

Practice address

7101 E 21St St N
Wichita, KS 67206-1044

Phone

(316) 684-8018

NPI assigned

Sep 6, 2007

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Upstate Physical Therapy PC

  • Physical Therapist
  • Denton, TX
  • NPI 1053417410
  NPD (past)

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

{
    "created_epoch": "1189036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572998400000",
    "number": "1184819716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1466 N ASTER ST",
            "city": "ANDOVER",
            "state": "KS",
            "postal_code": "670028584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7101 E 21ST ST N",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672061044",
            "telephone_number": "316-684-8018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITZWILLIAMS",
        "first_name": "JESICA",
        "middle_name": "LYNN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-06",
        "last_updated": "2019-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "11-04513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda S Fitzgerald, LSCSW
• Katharine Lynn Fitzharris, AU.D., M.S., PH.D.
• Sanford F Fitzig, MD
• Glen Allen Fitzner, D. C.
• Patricia Jewel Fitzwater, RN
• Theresa A Flaigle, LMSW
• Samuel Jason Flaming, MSW
• Ella Flanagan
• Staci Elizabeth Flanagan, MA, CCC-SLP
• Sierra Flanigan

• 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 Nov 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.