Jon Fetterhoof, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

11-00032 Issued in KS

Practice address

1110 Columbine Dr
Holton, KS 66436-8824

Phone

(785) 364-2116

NPI assigned

Sep 14, 2006

Last updated

Jul 8, 2007By 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

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467557462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 NW 62ND ST",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666171626",
            "telephone_number": "785-364-2116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 COLUMBINE DR",
            "city": "HOLTON",
            "state": "KS",
            "postal_code": "664368824",
            "telephone_number": "785-364-2116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FETTERHOOF",
        "first_name": "JON",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "11-00032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward D. McKenzie (Holton Chiropractic Center)
• Sarrah R Edwards, PT
• Marty Leon Ellis, APRN, FNP-C
• Shaley Emmons
• Michael Kevin Engelken, MD
• Mackenzie Forrester
• Gallagher Eye Care of Holton
• Robert William George
• Stephannie Dawn Gilkey-Nicol, D.C.
• Alex C Gilliland, DDS

• Physical Therapist in Holton, KS
• Providers in Holton, 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 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.