JARVIS KEITH ODGERS (DPT) – Physical Therapist, NPI 1396975207

JARVIS KEITH ODGERS (DPT) is a healthcare provider. based in Wichita, Kansas. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. 11-03942 (KS). The NPI Number for JARVIS KEITH ODGERS (DPT) is 1396975207

Main info

Male
17 Years Of Experience
Accepts Medicare Assignment
Name
JARVIS KEITH ODGERS (DPT)
NPI
1396975207
Phone
(316) 440-1100
Address
12112 W KELLOGG ST
Enumeration Date
27 July 2009
Last Update Date
27 July 2009

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7852715533
Graduation Year
2009 (17 years ago)
PAC ID
6204982200
Group Practice PAC ID
9335137769
Professional Enrollment ID
I20090916000384
Address ID
KS666042514TO5220XSTXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:16State licenses:1Digital endpointsOther names

1,046 PHYSICAL THERAPIST IN PRIVATE PRACTICE in KS

Loading map...

Provider Addresses for JARVIS KEITH ODGERS (DPT)

  • West Kellogg Street, Wichita, Sedgwick County, Kansas, 67209, United States

    WICHITA, KS 672351100

    Phone: (316) 440-1100

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2009-09-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20090916000384IPhysical Therapist In Private PracticeKSTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97140Therapy procedure using manual technique, each 15 minutes1,921105$0
97530Therapy procedure using functional activities1,86091$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes1,631113$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes88180$0
97113Therapy procedure using water pool to exercises, each 15 minutes36712$0
View full utilization report →

Insurance plans in this area (ZIP 67235)

Loading plans...

Provider's Procedures

JARVIS KEITH ODGERS (DPT) performs procedures in PHYSICAL THERAPIST IN PRIVATE PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYKS97001Physical therapy evaluation149134
PHYSICAL THERAPYKS97140Manual (physical) therapy techniques to 1 or more regions, each 15 minutes1113123

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9335137769View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeNC
Physical Therapist In Private PracticeKS
-KS
Physical Therapist In Private PracticeKS
Physical Therapist In Private PracticeKS
Physical Therapist In Private PracticeKS
Physical Therapist In Private PracticeKS
Physical Therapist In Private PracticeKS
Qualified Speech Language PathologistKS
Physical Therapist In Private PracticeNE

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What is JARVIS KEITH ODGERS (DPT)'s NPI number?
JARVIS KEITH ODGERS (DPT)'s NPI is 1396975207 — the number used across U.S. healthcare to identify this provider.
Would JARVIS KEITH ODGERS (DPT) appear as active to a payer?
You can treat JARVIS KEITH ODGERS (DPT) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to JARVIS KEITH ODGERS (DPT)?
JARVIS KEITH ODGERS (DPT)'s specialty line reads Physical Therapist. Clinical services aligned with this taxonomy classification.
What locale is associated with JARVIS KEITH ODGERS (DPT)?
Directory geography for JARVIS KEITH ODGERS (DPT) centers on Wichita, Kansas.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

Similar Providers

MR. JAY FRANZ (PT)

Orthopedic Physical Therapist
1948, South Crestline Avenue, Prairie Park, Wichita, Sedgwick County, Kansas, 67209, United States
NPI: 1023013463

BRIAN W KLAMM (PT)

Physical Therapist
200, West Douglas Avenue, Wichita, Sedgwick County, Kansas, 67202, United States
NPI: 1407851462

MRS. CHERYL DIANE WALTER (CRNA)

Certified Registered Nurse Anesthetist
East English Street, East Village, Wichita, Sedgwick County, Kansas, 67208, United States
NPI: 1538166327

PATRICIA YOON (PT)

Physical Therapist
1855, South Rock Road, Wichita, Sedgwick County, Kansas, 67207, United States
NPI: 1386636066

MS. LELA A SCHROTT (PT)

Physical Therapist
Amidon Street, Wichita, Sedgwick County, Kansas, 67203, United States
NPI: 1891789285

JACQUELINE K. BAALMAN (PT)

Physical Therapist
2102 RUTGERS ST
NPI: 1417941220

KARL R GLICK (L.P.T.)

Physical Therapist
Cypress Surgery Center, 9300, East 29th Street North, Wichita, Sedgwick County, Kansas, 67226, United States
NPI: 1740261544

MR. JOSHUA DARBY (PT)

Physical Therapist
7111, East 21st Street North, Minneha, Wichita, Sedgwick County, Kansas, 67206, United States
NPI: 1033190327

GRETCHEN SEMSROTH (CPT)

Physical Therapist
501, North Maize Road, Wichita, Sedgwick County, Kansas, 67212, United States
NPI: 1295718575