ETHAN JACKS (PTA) – Physical Therapy Assistant, NPI 1346969425

ETHAN JACKS (PTA) is a healthcare provider. based in Leawood, Kansas. specializing in Physical Therapy Assistant. They hold the professional credentials PTA. They hold a License No. 14-03380 (KS). The NPI Number for ETHAN JACKS (PTA) is 1346969425

Main info

Male
Name
ETHAN JACKS (PTA)
NPI
1346969425
Phone
(913) 381-2100
Address
9425 MISSION RD
Enumeration Date
23 August 2022
Last Update Date
23 August 2022
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

Provider Addresses for ETHAN JACKS (PTA)

  • 9425 MISSION RD

    LEAWOOD, KS 662062045

    Phone: (913) 381-2100

    Type: Location

  • 200 W DOUGLAS AVE STE 250

    WICHITA, KS 672023002

    Phone: (316) 263-0003

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 66206)

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Reviews

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Frequently asked questions

How is ETHAN JACKS (PTA) identified in CMS data?
CMS-hosted NPPES data lists ETHAN JACKS (PTA) with NPI 1346969425.
Is ETHAN JACKS (PTA) still practicing?
ETHAN JACKS (PTA) is currently listed as active in the public NPI registry.
What is ETHAN JACKS (PTA)'s specialty?
The listing groups ETHAN JACKS (PTA) with Physical Therapy Assistant. Clinical services aligned with this taxonomy classification.
Where should I expect ETHAN JACKS (PTA) on a map?
Expect Leawood, Kansas as a primary anchor for ETHAN JACKS (PTA) unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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