Jordan Compton, CPTA

Individual provider Active NPI Physical Therapy Assistant · Sharon Springs, KS

NPI 1780129668 · NPPES record last updated Dec 30, 2016

Key facts

NPI
1780129668
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
14-03098 (KS)
Practice address
608 N Kennedy
Sharon Springs, KS 67758-9701
Phone
(785) 852-4244
NPI assigned
Dec 30, 2016
Sex
Female
Sole proprietor
No

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
14-03098KSMDPhysical Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 14-03098 KS Yes

Addresses

Primary practice location

608 N Kennedy
Sharon Springs, KS 67758-9701

Mailing address

608 N Kennedy
Sharon Springs, KS 67758-9701
Phone (785) 852-4244

Other providers in Sharon Springs, KS

All providers in Sharon Springs, KS · Physical Therapy Assistant in Kansas

Sources for this page

Verify at the official NPI Registry.