Tim Jantzi, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

11-06922 Issued in KS

Practice address

608 N Mulberry Rd
Derby, KS 67037-3532

Phone

(316) 202-0996

Fax

(316) 202-0997

NPI assigned

Jun 3, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advanced PT of Newton, LLCGroup PAC ID 3476616848, 17 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Advanced PT of Newton, LLC

  dba Empower Physical Therapy

  • Physical Therapist
  • Newton, KS
  • NPI 1801043369
  Medicare reassignment Care Compare group NPD
• Advanced PT LLC

  dba Advanced PT Northwest Family

  • Physical Therapist
  • Wichita, KS
  • NPI 1780616789
  Medicare reassignment NPD
• Advanced PT LLC

  dba Preferred PT State Avenue

  • Physical Therapist
  • Kansas City, KS
  • NPI 1144251232
  NPD
• Advanced PT, LLC

  dba Advanced PT Derby

  • Physical Therapist
  • Derby, KS
  • NPI 1861921538
  NPD

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

{
    "created_epoch": "1622678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637020800000",
    "number": "1942876495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W DOUGLAS AVE STE 1040",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672023017",
            "telephone_number": "316-263-0003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 N MULBERRY RD",
            "city": "DERBY",
            "state": "KS",
            "postal_code": "670373532",
            "telephone_number": "316-202-0996",
            "fax_number": "316-202-0997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANTZI",
        "first_name": "TIM",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-03",
        "last_updated": "2021-11-16",
        "certification_date": "2021-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "11-06922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zane Ali Issa, DDS
• Amanda Jackson
• Kaitlyn Jacobs, LCMFT
• Austin Lane Jamison, PHARMD
• Jennifer Jamison, PHARMD
• Cassidy Jensen
• Garrison Johnson
• Kayla M Johnson
• Amie Nichole Jones, APRN
• David Robert Jowdy, D.C.

• Physical Therapist in Derby, KS
• Providers in Derby, KS by specialty
• Physical Therapist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2021; 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.