Jody Dawn King, CPTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

1402084 Issued in KS

Practice address

2800 Willow Grove Rd
Manhattan, KS 66502-2096

Phone

(785) 539-7671

NPI assigned

Feb 3, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jody Dawn Wilhelm Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1296691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450656000000",
    "number": "1447556733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 WILLOW GROVE RD",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665022096",
            "telephone_number": "785-539-7671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 WILLOW GROVE RD",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665022096",
            "telephone_number": "785-539-7671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "JODY",
        "middle_name": "DAWN",
        "credential": "CPTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-03",
        "last_updated": "2015-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "KS",
            "license": "1402084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JODY",
            "last_name": "WILHELM",
            "middle_name": "DAWN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kimberly Suderman Therapy LLC
• Jonathan G Kimmes, LMFT
• Sarah Kinder, LMSW
• Abby King, RN
• Darron King, PTA
• Johanna King
• Kent H Kiracofe, M.D.
• Thomas Earl Kirk, MD
• Roger Lee Kirkwood, ARNP
• Steven Victor Klassen

• Physical Therapy Assistant in Manhattan, KS
• Providers in Manhattan, KS by specialty
• Physical Therapy Assistant in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2015; 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.