Individual provider Active NPI

Jessica Nichols, DPT

  • Physical Therapist
  • Wichita, KS
National Provider Identifier
1871332379
Registry record updated May 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
T-06117 Issued in KS
Practice address
7550 W Village Cir Ste 1
Wichita, KS 67205-9364
Phone
(316) 838-2020
NPI assigned
May 23, 2024
Last updated
May 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2024

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 T-06117 KS Primary

Addresses

Primary practice location

7550 W Village Cir Ste 1
Wichita, KS 67205-9364

Mailing address

7550 W Village Cir Ste 1
Wichita, KS 67205-9364
Phone (316) 838-2020

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241108000582 KS Practitioner - Physical Therapist in Private Practice 8426594326 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced PT of Newton, LLCGroup PAC ID 3476616848, 17 clinicians
Kansas Orthopaedic Center, PAGroup PAC ID 3577553668, 24 clinicians

Practice addresses (Care Compare)

715 Medical Ctr Dr
Suite 300
Newton, KS 67114-9056
Phone (316) 283-7187

7550 W Village Cir
Suite 1
Wichita, KS 67205-9364
Phone (316) 838-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
T-06117KSMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kansas Orthopaedic Center, P.a. CurrentSince Jun 24, 2024 Accepting new patients
Advanced PT of Newton, LLC Physical Therapist CurrentSince Jan 14, 2026 Accepting new patients
Kansas Orthopaedic Center, P.a. CurrentSince Jun 24, 2024 Accepting new patients

Locations

101 E Fulton St
Garden City, KS 67846
Phone (620) 271-0700

701 S Main St
Hesston, KS 67062
Phone (316) 283-7187

715 Medical Center Dr
Ste 300
Newton, KS 67114
Phone (316) 283-7187

10330 W Central Ave
Ste 160
Wichita, KS 67212
Phone (316) 283-7187

7550 W Village Cir
Ste 1
Wichita, KS 67205
Phone (316) 838-2020

7550 W Village Cir
Ste I
Wichita, KS 67205

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1716422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716422400000",
    "number": "1871332379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7550 W VILLAGE CIR STE 1",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672059364",
            "telephone_number": "316-838-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7550 W VILLAGE CIR STE 1",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672059364",
            "telephone_number": "316-838-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLS",
        "first_name": "JESSICA",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-23",
        "last_updated": "2024-05-23",
        "certification_date": "2024-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "T-06117",
            "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 23, 2024; 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.