Organization Active NPI

Pediatric Therapy Center of Wichita, LLC

  • Pediatric Physical Therapist
  • Wichita, KS
National Provider Identifier
1710620398
Registry record updated Jan 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
Legal business name
PEDIATRIC THERAPY CENTER OF WICHITA, LLC
Practice address
7309 E 21St St N Ste 140
Wichita, KS 67206-1178
Phone
(316) 260-5502
Fax
(866) 420-2193
NPI assigned
Apr 20, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2026

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

Authorized official

Name
Cheryl Jabara, DPTNPI 1487741112
Title
Physical Therapist
Phone
(316) 260-5502

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2251P0200X Primary

Addresses

Primary practice location

7309 E 21St St N Ste 140
Wichita, KS 67206-1178

Mailing address

220 S Hillside St Ste B
Wichita, KS 67211-2151

National Provider Directory

National Provider Directory

Locations

220 S Hillside St
Ste B
Wichita, KS 67211
Phone (316) 686-9121

7309 E 21st St N
Ste 140
Wichita, KS 67206
Phone (316) 260-5502

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1650412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768953600000",
    "number": "1710620398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 S HILLSIDE ST STE B",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672112151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7309 E 21ST ST N STE 140",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672061178",
            "telephone_number": "316-260-5502",
            "fax_number": "866-420-2193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC THERAPY CENTER OF WICHITA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-20",
        "last_updated": "2026-01-21",
        "certification_date": "2026-01-21",
        "status": "A",
        "authorized_official_last_name": "JABARA",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "316-260-5502",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": null,
            "license": null,
            "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 Jan 21, 2026; 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.