Individual provider Active NPI

Jessica Yoder, DPT

  • Physical Therapist
  • Hutchinson, KS
National Provider Identifier
1871973164
Registry record updated Apr 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
2803 N Lorraine St
Ste F
Hutchinson, KS 67502-4354
Phone
(620) 662-3111
Fax
(620) 662-3122
NPI assigned
Jun 2, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2016

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 KS Primary

Addresses

Primary practice location

2803 N Lorraine St
Ste F
Hutchinson, KS 67502-4354

Mailing address

200 W Douglas Ave
Ste 1040
Wichita, KS 67202-3013
Phone (316) 263-0003

Other names 1

  • Jessica Showalter Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150716001782 KS Practitioner - Physical Therapist in Private Practice 3971816141 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced PT LLC Physical Therapist Current Accepting new patients
Advanced PT LLC Physical Therapist CurrentSince Jun 11, 2015 Accepting new patients
Advanced PT, LLC Physical Therapist CurrentSince Jun 11, 2015 Accepting new patients
Advanced PT, LLC PastSince Jun 11, 2015 Accepting new patients

Locations

2803 N Lorraine St
Ste F
Hutchinson, KS 67502
Phone (620) 662-3111

400 W 4th St
McPherson, KS 67460
Phone (620) 241-4201

315 W Washington Ave
Sterling, KS 67579
Phone (620) 204-6116

3730 N Ridge Rd
Ste 500
Wichita, KS 67205
Phone (316) 440-4901

200 W Douglas Ave
Ste 1040
Wichita, KS 67202
Phone (866) 412-5554

6940 W Newell St
Wichita, KS 67212
Phone (316) 440-3731

2243 S Meridian Ave
Ste 105
Wichita, KS 67213
Phone (316) 942-5448

4515 E Central Ave
Ste A
Wichita, KS 67208
Phone (316) 260-6869

Organizations & group practices 4

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": "1433203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460505600000",
    "number": "1871973164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W DOUGLAS AVE",
            "address_2": "STE 1040",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672023013",
            "telephone_number": "316-263-0003",
            "fax_number": "316-263-1241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2803 N LORRAINE ST",
            "address_2": "STE F",
            "city": "HUTCHINSON",
            "state": "KS",
            "postal_code": "675024354",
            "telephone_number": "620-662-3111",
            "fax_number": "620-662-3122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YODER",
        "first_name": "JESSICA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-02",
        "last_updated": "2016-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "SHOWALTER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hutchinson, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.