Active NPI
Jordyn M Standiford, DPT
- Physical Therapist
- Wichita, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11-06792
- Practice address
- 3460 N Ridge Rd Ste 80
Wichita, KS 67205-1223 - Phone
- (316) 202-0340
- Fax
- (316) 202-0341
- NPI assigned
- Jun 18, 2021
- Last updated
- Dec 27, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 11-06792 | KS | Primary |
Addresses
Primary practice location
3460 N Ridge Rd Ste 80
Wichita, KS 67205-1223
Mailing address
200 W Douglas Ave Ste 250
Wichita, KS 67202-3002
Phone (316) 263-0003
Other names 1
- Jordyn Miller
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3460 N Ridge Rd
80 Advanced PT Aquatic Rehab
Wichita, KS 67205-1223
Phone (316) 202-0340
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced PT LLC | Physical Therapist | Current | Accepting new patients |
| Advanced PT LLC | Physical Therapist | Current | Accepting new patients |
Locations
200 W Douglas Ave
Ste 1040
Wichita, KS 67202
Phone (866) 412-5554
3460 N Ridge Rd
Ste 80
Wichita, KS 67205
Phone (316) 202-0340
3730 N Ridge Rd
Ste 500
Wichita, KS 67205
Phone (316) 440-4901
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1640563200000",
"number": "1487223038",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 W DOUGLAS AVE STE 250",
"city": "WICHITA",
"state": "KS",
"postal_code": "672023002",
"telephone_number": "316-263-0003",
"fax_number": "316-263-1241"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3460 N RIDGE RD STE 80",
"city": "WICHITA",
"state": "KS",
"postal_code": "672051223",
"telephone_number": "316-202-0340",
"fax_number": "316-202-0341"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STANDIFORD",
"first_name": "JORDYN",
"middle_name": "M",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-18",
"last_updated": "2021-12-27",
"certification_date": "2021-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KS",
"license": "11-06792",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JORDYN",
"last_name": "MILLER",
"credential": "DPT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Wichita, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2021; 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.