Jeremy Philip Wiltz

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

11-04265 Issued in KS

Practice address

200 SW Frazier Cir
Topeka, KS 66606-2800

Phone

(785) 232-2044

NPI assigned

Jun 30, 2011

Last updated

Jul 7, 2023By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Midland Care Physician Services II LLC

  • Family Medicine Physician
  • Topeka, KS
  • NPI 1336084060
  NPD Authorized official
• Community Care Hospice LLC

  • Community Based Hospice Care Agency
  • McPherson, KS
  • NPI 1588350037
  NPD
• Midland Care Physician Services LLC

  • Multi-Specialty Clinic/Center
  • Topeka, KS
  • NPI 1194448548
  NPD

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

{
    "created_epoch": "1309392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688688000000",
    "number": "1427345289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12370 S CRESTONE ST",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660616652",
            "telephone_number": "913-705-2526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 SW FRAZIER CIR",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666062800",
            "telephone_number": "785-232-2044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILTZ",
        "first_name": "JEREMY",
        "middle_name": "PHILIP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-30",
        "last_updated": "2023-07-07",
        "certification_date": "2023-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "11-04265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miranda Wilson
• Priscilla D Wilson
• Roy P Wilson, APRN
• Susan Wilson
• Yolanda Danelle Wilson, LMSW
• Jennifer Winchell, LMSW
• Shana Windham
• Haley Wingerson, APRN
• Lori Ann Wingert
• Jill Winkleman, RN

• Physical Therapist in Topeka, KS
• Providers in Topeka, 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 7, 2023; 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.