Active NPI
Jessica Renee Scram, DPT
- Physical Therapist
- Wichita, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11-04397
- Practice address
- 3730 N Ridge Rd
Ste 500
Wichita, KS 67205-1227 - Phone
- (316) 440-4901
- Fax
- (316) 440-4904
- NPI assigned
- Jun 4, 2012
- Last updated
- May 1, 2013
- 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 | 11-04397 | KS | Primary |
Addresses
Primary practice location
3730 N Ridge Rd
Ste 500
Wichita, KS 67205-1227
Mailing address
200 W Douglas Ave
Ste 1040
Wichita, KS 67202-3013
Phone (316) 263-0003
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Enrollment records 1
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 |
| Advanced PT LLC | Physical Therapist | Current | Accepting new patients |
| PT Plus, Inc. | Past | Accepting new patients | |
| Advanced PT Pca, LLC | Physical Therapist | Past | Accepting new patients |
Locations
400 W 4th St
McPherson, KS 67460
Phone (620) 241-4201
200 W Douglas Ave
Ste 1040
Wichita, KS 67202
Phone (866) 412-5554
2243 S Meridian Ave
Ste 105
Wichita, KS 67213
Phone (316) 942-5448
3730 N Ridge Rd
Ste 500
Wichita, KS 67205
Phone (316) 440-4901
4515 E Central Ave
Ste A
Wichita, KS 67208
Phone (316) 260-6869
6940 W Newell St
Wichita, KS 67212
Phone (316) 440-3731
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapy Clinic/Center
- Augusta, KS
- NPI 1457345829
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1367366400000",
"number": "1609137801",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 W DOUGLAS AVE",
"address_2": "STE 1040",
"city": "WICHITA",
"state": "KS",
"postal_code": "672023013",
"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": "3730 N RIDGE RD",
"address_2": "STE 500",
"city": "WICHITA",
"state": "KS",
"postal_code": "672051227",
"telephone_number": "316-440-4901",
"fax_number": "316-440-4904"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCRAM",
"first_name": "JESSICA",
"middle_name": "RENEE",
"name_prefix": "Mrs.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-04",
"last_updated": "2013-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KS",
"license": "11-04397",
"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 May 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.