Jarvis Keith Odgers, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

11-03942 Issued in KS

Practice address

12112 W Kellogg St
Wichita, KS 67235-1100

Phone

(316) 440-1100

NPI assigned

Jul 27, 2009

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, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rebound Physical Therapy IncGroup PAC ID 9335137769, 20 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Rebound Physical Therapy Inc.

  • Physical Therapist
  • Topeka, KS
  • NPI 1003810466
  Medicare reassignment Care Compare group NPD
• Rebound Physical Therapy at Wood Valley

  • Physical Therapist
  • Topeka, KS
  • NPI 1891711974
  NPD (past)

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

{
    "created_epoch": "1248652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248652800000",
    "number": "1396975207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12112 W KELLOGG ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672351100",
            "telephone_number": "316-440-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12112 W KELLOGG ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672351100",
            "telephone_number": "316-440-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODGERS",
        "first_name": "JARVIS",
        "middle_name": "KEITH",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-27",
        "last_updated": "2009-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "11-03942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sjonna Delynne Ochsner, LMFT
• Reuben Laryea Odai, MD
• Andrea Odbert, D.C.
• Burtram J Odenheimer, MD
• Joseph Olufemi Odeyemi
• Odyssey Healthcare Operating a LP
• Hannah Marie Oechsle, DO
• Grace Eleanor Oeding
• Sarah Oehmke-Lejuerrne, ARNP
• Debra L Oehmke, LSCSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2009; 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.