Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Janelle R Petrisor

Individual provider Physical Therapist · NPI 1124675574

Janelle R Petrisor is a Physical Therapist in Private Practice in Wichita, Kansas. Qualified in 2019, 7 years ago. Practices with Sports Med Denton LLC, a 10-clinician group and accepts Medicare assignment. Licensed in Kansas.

Years since qualifying
7
Licensed in
KS
In the registry since
2019
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Practice location Address checks out

3460 N Ridge Rd Ste 80
Wichita, KS 67205-1223
Phone: (316) 202-0340
Fax: (316) 202-0341
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 1106278 (KS)

Record details

NPI number1124675574
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 21, 2019
Last updated in NPPESAugust 21, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Sports Med Denton Llc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Wichita