Individual provider Active NPI

Adam Robert Jahnel, DPT

  • Physical Therapist
  • Hiawatha, KS
National Provider Identifier
1558920140
Registry record updated Jun 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11-06127 Issued in KS
Practice address
819 Oregon St
Hiawatha, KS 66434-2205
Phone
(785) 742-2201
Fax
(785) 742-2202
NPI assigned
Jun 7, 2019
Last updated
Jun 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 11-06127 KS Primary

Addresses

Primary practice location

819 Oregon St
Hiawatha, KS 66434-2205

Mailing address

819 Oregon St
Hiawatha, KS 66434-2205
Phone (785) 742-2201

Other identifiers 1

IdentifierTypeStateIssuer
11-06127OtherKSPHYSICAL THERAPY LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11-06127KSMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Physical & Respiratory Therapy Services LLC Physical Therapist CurrentSince Jun 10, 2019 Accepting new patients

Locations

700 Oregon St
Hiawatha, KS 66434
Phone (785) 742-7495

819 Oregon St
Hiawatha, KS 66434
Phone (785) 742-2201

233 White Way St
Netawaka, KS 66516
Phone (785) 933-2086

Organizations & group practices 1

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": "1559865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655769600000",
    "number": "1558920140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "819 OREGON ST",
            "city": "HIAWATHA",
            "state": "KS",
            "postal_code": "664342205",
            "telephone_number": "785-742-2201",
            "fax_number": "785-742-2202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 OREGON ST",
            "city": "HIAWATHA",
            "state": "KS",
            "postal_code": "664342205",
            "telephone_number": "785-742-2201",
            "fax_number": "785-742-2202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAHNEL",
        "first_name": "ADAM",
        "middle_name": "ROBERT",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-07",
        "last_updated": "2022-06-21",
        "certification_date": "2022-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "11-06127",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY LICENSE",
            "identifier": "11-06127",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hiawatha, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2022; 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.