Individual provider Active NPI

Jeremy A Milford, DPT

  • Physical Therapist
  • Wichita, KS
National Provider Identifier
1366932071
Registry record updated May 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
7111 E 21St St N Ste 103
Wichita, KS 67206-1090
Phone
(316) 269-1311
Fax
(316) 269-1588
NPI assigned
May 17, 2018
Last updated
May 17, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

7111 E 21St St N Ste 103
Wichita, KS 67206-1090

Mailing address

200 W Douglas Ave Ste 1040
Wichita, KS 67202-3017
Phone (316) 263-0003

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180702003403 KS Practitioner - Physical Therapist in Private Practice 4789930850 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced PT LLCGroup PAC ID 3678524709, 84 clinicians

Practice addresses (Care Compare)

608 N Mulberry Rd
Advanced PT Derby
Derby, KS 67037-3532
Phone (316) 202-0996

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced PT LLC Physical Therapist CurrentSince Jun 1, 2018 Accepting new patients
Advanced PT LLC Physical Therapist Current Accepting new patients
Advanced PT, LLC Physical Therapist CurrentSince Jun 1, 2018 Accepting new patients
Advanced PT, LLC PastSince Jun 1, 2018 Accepting new patients

Locations

608 N Mulberry Rd
Derby, KS 67037
Phone (316) 202-0996

2803 N Lorraine St
Ste F
Hutchinson, KS 67502
Phone (620) 662-3111

400 W 4th St
McPherson, KS 67460
Phone (620) 241-4201

315 W Washington Ave
Sterling, KS 67579
Phone (620) 204-6116

1725 E Douglas Ave
Ste 103
Wichita, KS 67211
Phone (316) 202-0987

200 W Douglas Ave
Ste 1040
Wichita, KS 67202
Phone (866) 412-5554

3730 N Ridge Rd
Ste 500
Wichita, KS 67205
Phone (316) 440-4901

4515 E Central Ave
Ste A
Wichita, KS 67208
Phone (316) 260-6869

6940 W Newell St
Wichita, KS 67212
Phone (316) 440-3731

7111 E 21st St N
Ste 103
Wichita, KS 67206
Phone (316) 269-1311

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1526515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526515200000",
    "number": "1366932071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W DOUGLAS AVE STE 1040",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672023017",
            "telephone_number": "316-263-0003",
            "fax_number": "316-263-1241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7111 E 21ST ST N STE 103",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672061090",
            "telephone_number": "316-269-1311",
            "fax_number": "316-269-1588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILFORD",
        "first_name": "JEREMY",
        "middle_name": "A",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-17",
        "last_updated": "2018-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "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 17, 2018; 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.