Active NPI
Jonathon Starke, DPT
- Physical Therapist
- Wichita, KS
National Provider Identifier
1366960684
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11-07798
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11-07798 | Other | KS | KANSAS STATE BOARD OF HEALING ARTS |
| 2017027012 | Other | MO | MISSOURI 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
| License | State | Type | Specialty |
|---|---|---|---|
| 11-07798 | KS | MD | Physical Therapist |
| 2017027012 | MO | MD | Physical 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.