Active NPI
Jerod Allan Sharp
- Physical Therapist
- Wichita, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT-2898
- Practice address
- 3460 N Ridge Rd Ste 80
Wichita, KS 67205-1223 - Phone
- (316) 202-0340
- NPI assigned
- Jun 24, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 | PT-2898 | ID | Primary |
Addresses
Primary practice location
3460 N Ridge Rd Ste 80
Wichita, KS 67205-1223
Mailing address
200 W Douglas Ave Ste 1040
Wichita, KS 67202-3017
Phone (316) 263-0003
Other practice location 1
229 S 7th St
St Maries, ID 83861-1803
Phone (208) 245-7040
Other practice location 2
229 S 7th St
St Maries, ID 83861-1803
Phone (208) 245-7040
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1819 Sheridan Ave
Cody, WY 82414-3886
Phone (307) 587-9866
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT-2898 | ID | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mountain Peak Performance | Physical Therapist | Current | Accepting new patients |
| Northwest Center for Sports Medicine & Physical Therapy, Inc. | Physical Therapist | Current | Accepting new patients |
| Advantage Rehab | Physical Therapist | Current | Accepting new patients |
| Rebound Physical Therapy at Wood Valley | Physical Therapist | Past | Accepting new patients |
| Advanced PT, LLC | Past | Accepting new patients |
Locations
4303 W 24th Ave
Ste B
Kennewick, WA 99338
Phone (509) 416-0444
6825 Burden Blvd
Ste D
Pasco, WA 99301
Phone (509) 416-0444
1020 Queensgate Dr
Richland, WA 99352
Phone (509) 578-5100
1819 Sheridan Ave
Cody, WY 82414
Phone (307) 587-9866
Organizations & group practices 5
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.
-
- Physical Therapist
- Cody, WY
- NPI 1851419832
-
- Physical Therapist
- Powell, WY
- NPI 1275493124
-
- Physical Therapist
- Gig Harbor, WA
- NPI 1982755070
-
- Physical Therapy Clinic/Center
- Wichita, KS
- NPI 1043805492
-
- Physical Therapist
- Topeka, KS
- NPI 1891711974
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308873600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1578859740",
"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"
},
{
"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"
}
],
"practiceLocations": [
{
"address_1": "229 S 7th St",
"address_purpose": "LOCATION",
"city": "St Maries",
"state": "ID",
"postal_code": "838611803",
"country_code": "US",
"telephone_number": "208-245-7040",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "229 S 7th St",
"address_purpose": "LOCATION",
"city": "St Maries",
"state": "ID",
"postal_code": "838611803",
"country_code": "US",
"telephone_number": "208-245-7040",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHARP",
"first_name": "JEROD",
"middle_name": "ALLAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-06-24",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ID",
"license": "PT-2898",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Mar 17, 2018; 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.