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

Tim Jantzi, DPT

Individual provider Physical Therapist · NPI 1942876495

Tim Jantzi, DPT is a Physical Therapist in Private Practice in Derby, Kansas. Qualified in 2021, 5 years ago. Practices with Advanced PT of Newton, LLC, a 17-clinician group and accepts Medicare assignment. Licensed in Kansas.

Years since qualifying
5
Licensed in
KS
In the registry since
2021
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

608 N Mulberry Rd
Derby, KS 67037-3532
Phone: (316) 202-0996
Fax: (316) 202-0997
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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 11-06922 (KS)

Record details

NPI number1942876495
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedJune 3, 2021
Last updated in NPPESNovember 16, 2021
Certification dateNovember 16, 2021
Mailing address200 W Douglas Ave Ste 1040, Wichita, KS 67202-3017

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Advanced Pt Of Newton, Llc — 17 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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