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

Jimmy Ta, DPT

Individual provider Physical Therapist · NPI 1336976265

Jimmy Ta, DPT is a Physical Therapist in Private Practice in Derby, Kansas. Qualified in 2024, 2 years ago. Practices with Mid-America Orthopedics LLC, a 34-clinician group and accepts Medicare assignment.

Years since qualifying
2
In the registry since
2024
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

1824 E James St
Derby, KS 67037-8634
Phone: (316) 630-9300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1336976265
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedSeptember 16, 2024
Last updated in NPPESSeptember 16, 2024
Certification dateSeptember 16, 2024
Mailing address1923 N Webb Rd, Wichita, KS 67206-3405

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Mid-America Orthopedics Llc — 34 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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