Individual provider Active NPI

Jenni E Schermuly, PTA

  • Physical Therapy Assistant
  • Wichita, KS
National Provider Identifier
1235422320
Registry record updated May 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
14-02229 Issued in KS
Practice address
2100 N Amidon Ave Ste 208
Wichita, KS 67203-2126
Phone
(316) 832-1116
Fax
(316) 832-1138
NPI assigned
May 23, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 14-02229 KS Primary

Addresses

Primary practice location

2100 N Amidon Ave Ste 208
Wichita, KS 67203-2126

Mailing address

2100 N Amidon Ave Ste 208
Wichita, KS 67203-2126
Phone (316) 832-1116

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

LicenseStateTypeSpecialty
14-02229KSMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Novacare Past Accepting new patients
Novacare Outpatient Rehabilitation Inc 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": "1306108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306108800000",
    "number": "1235422320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 N AMIDON AVE STE 208",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672032126",
            "telephone_number": "316-832-1116",
            "fax_number": "316-832-1138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 N AMIDON AVE STE 208",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672032126",
            "telephone_number": "316-832-1116",
            "fax_number": "316-832-1138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHERMULY",
        "first_name": "JENNI",
        "middle_name": "E",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-23",
        "last_updated": "2011-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "KS",
            "license": "14-02229",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 May 23, 2011; 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.