Jessica Brand, DPT

Key facts

NPI

1558718239

Entity type

Individual (NPI type 1)

Primary specialty

Physical Therapist 225100000X

Practice address

4515 E Central Ave
Ste a
Wichita, KS 67208-3915

Phone

(316) 260-6869

Fax

(316) 260-6872

NPI assigned

May 23, 2016

Sex

Female

Sole proprietor

No

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 and National Provider Directory roles.

• Advanced PT LLC Physical Therapist · Wichita, KS · NPI 1780616789
  NPD PHYSICAL THERAPIST
• Advanced PT, LLC Physical Therapy Clinic/Center · Wichita, KS · NPI 1043805492
  NPD (past)

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

Yes

Practice roles

Locations

Specialties & licenses

Addresses

Other names

• Jessica Stoddard Former name

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 6, 2017.

{
    "created_epoch": "1463961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509926400000",
    "number": "1558718239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W DOUGLAS AVE STE 1040",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672023017",
            "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": "4515 E CENTRAL AVE",
            "address_2": "STE A",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672083915",
            "telephone_number": "316-260-6869",
            "fax_number": "316-260-6872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAND",
        "first_name": "JESSICA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-23",
        "last_updated": "2017-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "STODDARD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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All providers in Wichita, KS · Physical Therapist in Kansas