Jenna Marie Juarez, D.P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

11-04606 Issued in KS

Practice address

510 Wheatrigde Dr
Newton, KS 67114

Phone

(316) 836-4700

Fax

(316) 836-4750

NPI assigned

May 16, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jenna Marie Gatz Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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
  • Independence, KS
  • NPI 1336320340
  NPD
• Advanced PT LLC

  • Physical Therapist
  • Wichita, KS
  • NPI 1780616789
  NPD
• Advanced PT, LLC

  • Physical Therapy Clinic/Center
  • Wichita, KS
  • NPI 1043805492
  NPD (past)
• Newton Healthcare Corporation

  • Home Health Agency
  • Newton, KS
  • NPI 1588755169
  NPD (past)
• Newton Healthcare Corporation

  • Family Medicine Physician
  • Newton, KS
  • NPI 1871588533

  Physical Therapist

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1368662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667865600000",
    "number": "1669818688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11910 W BRITTON ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "67205",
            "telephone_number": "316-992-0739",
            "fax_number": "316-263-1241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 WHEATRIGDE DR",
            "city": "NEWTON",
            "state": "KS",
            "postal_code": "67114",
            "telephone_number": "316-836-4700",
            "fax_number": "316-836-4750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUAREZ",
        "first_name": "JENNA",
        "middle_name": "MARIE",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-16",
        "last_updated": "2022-11-08",
        "certification_date": "2022-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "11-04606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNA",
            "last_name": "GATZ",
            "middle_name": "MARIE",
            "credential": "D.P.T.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jonathan L. Roberts
• Candra Jones
• Fabiana Jost, LSCSW
• Jozsa Hearing Center, LLC
• Barbara Jo Jozsa, M.A., CCC-A
• Madeline S Kalscheur
• Jamie Lee Karst, MS, CCC-SLP
• Katrina Zachary, LLC
• Marla Viola Kauffman, ARNP
• Yolanda Sue Kauffman, LMSW

• All providers in Newton, KS
• Physical Therapist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 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.