Individual provider Active NPI

Jenette Kern

  • Physical Therapist
  • Indianapolis, IN
National Provider Identifier
1225682768
Registry record updated Nov 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11-07198 Issued in KS
Practice address
8902 N Meridian St Ste 120
Indianapolis, IN 46260-5306
Phone
(317) 581-1890
NPI assigned
Aug 1, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 05013382A IN
Physical Therapist 225100000X 11-07198 KS Primary

Addresses

Primary practice location

8902 N Meridian St Ste 120
Indianapolis, IN 46260-5306

Mailing address

8902 N Meridian St Ste 120
Indianapolis, IN 46260-5306
Phone (317) 581-1890

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, MO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230209002365 KS Practitioner - Physical Therapist in Private Practice 2567898737 Reassigns benefits to 3 organizations
I20250106001788 MO Practitioner - Physical Therapist in Private Practice 2567898737 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Phoenix Physical Therapy LLCGroup PAC ID 3779914544, 50 clinicians

Practice addresses (Care Compare)

12627 E Central Ave
Suite 308
Wichita, KS 67206-2839
Phone (316) 260-3311

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
05013382AINMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Helio KC Physical Therapy of Overland Park LLC CurrentSince Jul 28, 2025 Accepting new patients
Paradox Physical Therapy and Sports Medicine Current Accepting new patients
Preferred PT, LLC Physical Therapist CurrentSince Oct 19, 2024 Accepting new patients
Preferred PT LLC Physical Therapist CurrentSince Oct 4, 2024 Accepting new patients
Phoenix Physical Therapy LLC CurrentSince Jul 28, 2025 Accepting new patients
Preferred PT LLC Physical Therapist CurrentSince Oct 4, 2024 Accepting new patients

Locations

8437 State Ave
Ste B
Kansas City, KS 66112
Phone (913) 299-9616

12728 State Line Rd
Leawood, KS 66209
Phone (816) 941-2550

8550 Marshall Dr
Ste 210
Overland Park, KS 66214
Phone (913) 492-0333

8021 Santa Fe Dr
Ste 100
Overland Park, KS 66204
Phone (913) 871-3237

12627 E Central Ave
Ste 308
Wichita, KS 67206

12627 E Central Ave
Wichita, KS 67206

3223 N Webb Rd
Ste 2
Wichita, KS 67226
Phone (316) 609-3040

1650 Lyndon Farm Ct
Ste 300
Louisville, KY 40223
Phone (726) 202-3039

373 W 101st Ter
Ste 220
Kansas City, MO 64114
Phone (816) 489-4161

101 NW Englewood Rd
Ste 110
Kansas City, MO 64118
Phone (816) 413-0900

Organizations & group practices 6

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": "1564617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730419200000",
    "number": "1225682768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8902 N MERIDIAN ST STE 120",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462605306",
            "telephone_number": "317-581-1890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8902 N MERIDIAN ST STE 120",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462605306",
            "telephone_number": "317-581-1890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERN",
        "first_name": "JENETTE",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-01",
        "last_updated": "2024-11-01",
        "certification_date": "2024-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "IN",
            "license": "05013382A",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "11-07198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2024; 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.