Healthcare Provider Details

I. General information

NPI: 1649764887
Provider Name (Legal Business Name): MATTHEW BRADFORD JENKINS DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/20/2018
Last Update Date: 10/08/2025
Certification Date: 10/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22120 MIDLAND DR STE 1
SHAWNEE KS
66226-3554
US

IV. Provider business mailing address

7728 W CENTRAL PARK ST
WICHITA KS
67205-1630
US

V. Phone/Fax

Practice location:
  • Phone: 913-745-4064
  • Fax: 913-745-4352
Mailing address:
  • Phone: 316-619-5268
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number11-05962
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: