Jimmy Ta, DPT
NPI 1336976265ActiveIndividual· Physical Therapist· Derby, KS
Physical Therapist (DPT) with Phoenix Physical Therapy LLC and 1 other group, practicing in Derby, Kansas. Medicare paid $2,031 for services to 11 patients in 2024.
Overview
| NPI | 1336976265 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DPT |
| Sole proprietor | No |
| NPI issued | Sep 16, 2024 |
| Last updated in NPPES | Sep 16, 2024 |
| Certified by provider | Sep 16, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (KS) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 11 |
|---|---|
| Services billed | 93 across 6 procedure codes |
| Paid by Medicare | $2,031 |
Education and affiliations
| Graduation year | 2024 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical groups
- Phoenix Physical Therapy LLCWichita, KS · 50 clinicians
- Mid-America Orthopedics LLCWichita, KS · 30 clinicians
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All 49 physical therapists in Derby · All physical therapists in Kansas