Individual provider Active NPI

Jonathon Starke, DPT

  • Physical Therapist
  • Wichita, KS
National Provider Identifier
1366960684
Registry record updated May 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11-07798 Issued in KS
Practice address
1855 S Rock Rd Ste 155
Wichita, KS 67207-5113
Phone
(316) 682-6333
NPI assigned
Sep 7, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2017027012 MO
Physical Therapist 225100000X 11-07798 KS Primary

Addresses

Primary practice location

1855 S Rock Rd Ste 155
Wichita, KS 67207-5113

Mailing address

2023 N Broadmoor St Unit 466
Wichita, KS 67206-2699
Phone (660) 281-4420

Other practice location 1

1155 Wentzville Pkwy Ste 123
Wentzville, MO 63385-3476
Phone (636) 332-1313

Other identifiers 2

IdentifierTypeStateIssuer
11-07798OtherKSKANSAS STATE BOARD OF HEALING ARTS
2017027012OtherMOMISSOURI BOARD OF HEALING ARTS

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
11-07798KSMDPhysical Therapist
2017027012MOMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1504742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747612800000",
    "number": "1366960684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2023 N BROADMOOR ST UNIT 466",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672062699",
            "telephone_number": "660-281-4420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1855 S ROCK RD STE 155",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672075113",
            "telephone_number": "316-682-6333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1155 Wentzville Pkwy Ste 123",
            "address_purpose": "LOCATION",
            "city": "Wentzville",
            "state": "MO",
            "postal_code": "633853476",
            "country_code": "US",
            "telephone_number": "636-332-1313",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STARKE",
        "first_name": "JONATHON",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-09-07",
        "last_updated": "2025-05-19",
        "certification_date": "2025-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2017027012",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "11-07798",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KANSAS STATE BOARD OF HEALING ARTS",
            "identifier": "11-07798",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MISSOURI BOARD OF HEALING ARTS",
            "identifier": "2017027012",
            "state": "MO"
        }
    ],
    "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 19, 2025; 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.