Provider Demographics
NPI:1023013463
Name:FRANZ, JAY (PT)
Entity type:Individual
Prefix:MR
First Name:JAY
Middle Name:
Last Name:FRANZ
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1948 S CRESTLINE AVE
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67209-3902
Mailing Address - Country:US
Mailing Address - Phone:316-722-7929
Mailing Address - Fax:316-630-0390
Practice Address - Street 1:8620 E 34TH ST N
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67226-2601
Practice Address - Country:US
Practice Address - Phone:316-630-0388
Practice Address - Fax:316-630-0390
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-06-14
Last Update Date:2025-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS11-02091225100000X
2251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
140388OtherBLUE CROSS
140388Medicare ID - Type Unspecified