JAKE COLTON THOMPSON (DPT) – Physical Therapist, NPI 1710479068

JAKE COLTON THOMPSON (DPT) is a healthcare provider. based in Great bend, Kansas. specializing in Physical Therapist. They hold the professional credentials DPT. They hold a License No. 11-05889 (KS). The NPI Number for JAKE COLTON THOMPSON (DPT) is 1710479068

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
JAKE COLTON THOMPSON (DPT)
NPI
1710479068
Phone
Not provided
Address
1514 K 96 HWY
Enumeration Date
2 June 2018
Last Update Date
2 June 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6207924383
Graduation Year
2018 (8 years ago)
PAC ID
1355696055
Group Practice PAC ID
6901705789
Professional Enrollment ID
I20180621000505
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness55
Years active:8State licenses:1Phone numberDigital endpoints

Provider Addresses for JAKE COLTON THOMPSON (DPT)

  • 1514 K 96 HWY

    GREAT BEND, KS 675303012

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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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: 2018-06-21

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
I20180621000505IPhysical 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
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes30452$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes9714$0
97530Therapy procedure using functional activities8615$0
97140Therapy procedure using manual technique, each 15 minutes3516$0
97161Evaluation for physical therapy, typically 20 minutes1615$0
View full utilization report →

Insurance plans in this area (ZIP 67530)

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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: 6901705789View full group profile
NameSpecialtyState
-KS
Orthopedic Surgery, Sports MedicineKS
-KS

Reviews

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Frequently asked questions

What is the standard ID for JAKE COLTON THOMPSON (DPT) in the U.S.?
In the U.S., JAKE COLTON THOMPSON (DPT) is identified by NPI 1710479068.
Should I treat JAKE COLTON THOMPSON (DPT) as an active provider?
Patients and plans typically see JAKE COLTON THOMPSON (DPT) as active in the national extract.
What services align with JAKE COLTON THOMPSON (DPT)'s listing?
JAKE COLTON THOMPSON (DPT)'s public classification highlights Physical Therapist. Clinical services aligned with this taxonomy classification.
Is JAKE COLTON THOMPSON (DPT) tied to Great Bend, Kansas?
If you are local to Great Bend, Kansas, JAKE COLTON THOMPSON (DPT) may be relevant to your search.
Who maintains JAKE COLTON THOMPSON (DPT)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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