Active NPI
Jamie Lea Briske, DPT
- Physical Therapist
- Wichita, KS
National Provider Identifier
1881252500
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1315654
- Practice address
- 57950 Leavenworth St
McConnell AFB
Wichita, KS 67221-3506 - Phone
- (316) 743-5021
- NPI assigned
- May 29, 2019
- Last updated
- Aug 1, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | P18729 | NC | |
| Physical Therapist | 225100000X | 1315654 | TX | Primary |
Addresses
Primary practice location
57950 Leavenworth St
McConnell AFB
Wichita, KS 67221-3506
Mailing address
57950 Leavenworth St
McConnell AFB
Wichita, KS 67221-3506
Phone (316) 743-5021
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P18729 | NC | MD | Physical Therapist |
| 1315654 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comprehab LLC | Physical Therapist | Past | Accepting new patients |
| Complete Rehabilitation and Sports Physical Therapy, PC | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Physical Therapist
- Ronkonkoma, NY
- NPI 1811097306
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690848000000",
"number": "1881252500",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "57950 LEAVENWORTH ST",
"address_2": "MCCONNELL AFB",
"city": "WICHITA",
"state": "KS",
"postal_code": "672213506",
"telephone_number": "316-743-5021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "57950 LEAVENWORTH ST",
"address_2": "MCCONNELL AFB",
"city": "WICHITA",
"state": "KS",
"postal_code": "672213506",
"telephone_number": "316-743-5021"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRISKE",
"first_name": "JAMIE",
"middle_name": "LEA",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-05-29",
"last_updated": "2023-08-01",
"certification_date": "2023-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "P18729",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1315654",
"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 Aug 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.