Individual provider Active NPI

Jessica L King, RPT

  • Physical Therapist
  • Garden City, KS
National Provider Identifier
1376622886
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11-03449 Issued in KS
Practice address
101 E Fulton St
Garden City, KS 67846-5455
Phone
(620) 275-8400
Fax
(620) 275-2687
NPI assigned
Nov 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 11-03449 KS Primary

Addresses

Primary practice location

101 E Fulton St
Garden City, KS 67846-5455

Mailing address

101 E Fulton St
Garden City, KS 67846-5455
Phone (620) 275-8400

Other identifiers 1

IdentifierTypeStateIssuer
115652OtherKSBCBS #

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
11-03449KSMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sandhill Orthopaedic & Sportsmedicine, LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jessica.king.1@18308.direct.athenahealth.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376622886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E FULTON ST",
            "city": "GARDEN CITY",
            "state": "KS",
            "postal_code": "678465455",
            "telephone_number": "620-275-8400",
            "fax_number": "620-275-2687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E FULTON ST",
            "city": "GARDEN CITY",
            "state": "KS",
            "postal_code": "678465455",
            "telephone_number": "620-275-8400",
            "fax_number": "620-275-2687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "JESSICA",
        "middle_name": "L",
        "credential": "RPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "11-03449",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS #",
            "identifier": "115652",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden City, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.