Jimmy Ta, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

1824 E James St
Derby, KS 67037-8634

Phone

(316) 630-9300

NPI assigned

Sep 16, 2024

Last updated

Sep 16, 2024By the provider in NPPES

Sex

Male

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 KS

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mid-America Orthopedics LLCGroup PAC ID 1850455759, 30 clinicians

Phoenix Physical Therapy LLCGroup PAC ID 3779914544, 50 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jimmy.ta.1@26355.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mid-America Orthopedics LLC

  • Orthopaedic Surgery Physician
  • Wichita, KS
  • NPI 1659516029
  Medicare reassignment Care Compare group NPD
• Phoenix Physical Therapy LLC

  dba Physical Therapy by Phoenix

  • Physical Therapy Clinic/Center
  • Wichita, KS
  • NPI 1487287082
  Medicare reassignment Care Compare group NPD
• Mid-America Orthopedics LLC

  • Durable Medical Equipment & Medical Supplies
  • Derby, KS
  • NPI 1386961688
  NPD (past)
• Mid-America Orthopedics, P.a.

  • Orthopaedic Surgery Physician
  • Wichita, KS
  • NPI 1770550592
  NPD (past)

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

{
    "created_epoch": "1726444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726444800000",
    "number": "1336976265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1923 N WEBB RD",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672063405",
            "telephone_number": "316-630-9300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1824 E JAMES ST",
            "city": "DERBY",
            "state": "KS",
            "postal_code": "670378634",
            "telephone_number": "316-630-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TA",
        "first_name": "JIMMY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-09-16",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Joel D Thomas, COTA
• Roger Lynn Thomas, DO

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.