Jodi Renee Runge, DPT, ATC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

11-04113 Issued in KS

Practice address

816 Oak St
Newton, KS 67114-1813

Phone

(316) 284-6510

Fax

(316) 284-6513

NPI assigned

Oct 18, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Foundations Therapy, LLC

  • Physical Therapist
  • Newton, KS
  • NPI 1982095196
  NPD (past) Authorized official

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

{
    "created_epoch": "1287360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287360000000",
    "number": "1295045730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3231 S HILLSIDE RD",
            "city": "NEWTON",
            "state": "KS",
            "postal_code": "671149332",
            "telephone_number": "316-772-8638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "816 OAK ST",
            "city": "NEWTON",
            "state": "KS",
            "postal_code": "671141813",
            "telephone_number": "316-284-6510",
            "fax_number": "316-284-6513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUNGE",
        "first_name": "JODI",
        "middle_name": "RENEE",
        "credential": "DPT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-18",
        "last_updated": "2010-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "11-04113",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "KS",
            "license": "24-00586",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marilyn M Rosa
• Lorri Christine Rostetter, APRN
• Nicole Roth
• Brett A Roufs, DDS
• Joanna Runge, LPT
• William Joseph Russell-Pestinger
• Adam Rutherford
• Katie Rutherford, LMAC, LMSW
• Kathleen Rutschman, NP
• Laura Sadowski, LMSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2010; 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.