Individual provider Active NPI

Jena Eve Dilthey

  • Physical Therapist
  • Kansas City, KS
National Provider Identifier
1790674281
Registry record updated May 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11-07930 Issued in KS
Practice address
1333 Meadowlark LN Ste 104
Kansas City, KS 66102-1200
Phone
(913) 287-8815
NPI assigned
Jun 30, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 11-07930 KS Primary

Addresses

Primary practice location

1333 Meadowlark LN Ste 104
Kansas City, KS 66102-1200

Mailing address

4906 England St
Merriam, KS 66203-1768
Phone (815) 575-6637

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251010002570 MO Practitioner - Physical Therapist in Private Practice 6901303239 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Select Physical Therapy Holdings IncGroup PAC ID 9537076401, 1,992 clinicians

Practice addresses (Care Compare)

15325 Old Town Dr
Suite 103
Parkville, MO 64152-2523
Phone (816) 897-2580

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11-07930KSMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Select Physical Therapy Holdings Inc CurrentSince Aug 12, 2025 Accepting new patients
Select Physical Therapy Holdings, Inc. Physical Therapist CurrentSince Aug 12, 2025 Accepting new patients
Select Physical Therapy Holdings Inc Physical Therapist Current Accepting new patients

Locations

1333 Meadowlark Ln
Ste 104
Kansas City, KS 66102
Phone (913) 287-8815

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1751241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778716800000",
    "number": "1790674281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4906 ENGLAND ST",
            "city": "MERRIAM",
            "state": "KS",
            "postal_code": "662031768",
            "telephone_number": "815-575-6637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1333 MEADOWLARK LN STE 104",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661021200",
            "telephone_number": "913-287-8815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILTHEY",
        "first_name": "JENA",
        "middle_name": "EVE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-06-30",
        "last_updated": "2026-05-14",
        "certification_date": "2026-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "11-07930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2026; 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.

Verify at the official NPI Registry.