Individual provider Active NPI

Jaimie Ann Story, PA-C

  • Physician Assistant
  • Fort Worth, TX
National Provider Identifier
1003486226
Registry record updated Jun 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA14727 Issued in TX
Practice address
6900 Harris Pkwy Ste 310
Fort Worth, TX 76132-4261
Phone
(817) 375-5200
NPI assigned
Jun 29, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA14727 TX Primary

Addresses

Primary practice location

6900 Harris Pkwy Ste 310
Fort Worth, TX 76132-4261

Mailing address

800 Orthopedic Way
Arlington, TX 76015-1629
Phone (817) 375-5200

Other practice location 1

800 Orthopedic Way
Arlington, TX 76015-1629
Phone (817) 375-5200

Other practice location 2

2801 E Broad St
Mansfield, TX 76063-9128
Phone (817) 375-5200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220214001577 TX Practitioner - Physician Assistant 9830582923 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Texas Health Care PLLCGroup PAC ID 7214840867, 363 clinicians
Green Oaks Physical Therapy Limited PartnershipGroup PAC ID 4688582141, shared by 2 NPIs, 208 clinicians

Practice addresses (Care Compare)

110 Mary Lou Dr
Suite 100
Willow Park, TX 76087-8767
Phone (817) 930-2030

1651 W Rosedale
Fort Worth, TX 76104-7437

1651 W Rosedale St
Fort Worth, TX 76104-7437

6116 Lake Worth Blvd
Suite 100
Lake Worth, TX 76135-3703
Phone (817) 984-3260

6700 Buenos Aires Dr
N Richland Hills, TX 76180-6566
Phone (817) 281-8245

920 Santa Fe Dr
Suite 103
Weatherford, TX 76086-5865
Phone (817) 339-8855

Hospital & facility affiliations

  • Baylor Institute for Rehabilitation at Fort Worth Inpatient rehabilitation facility, Fort Worth, TX, CCN 673035

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Health Care, P.L.L.C. CurrentSince Mar 1, 2022 Accepting new patients
Texas Health Care, P.L.L.C. CurrentSince Mar 1, 2022 Accepting new patients

Locations

1651 W Rosedale St
Ste 100
Ft Worth, TX 76104
Phone (817) 335-4316

6700 Buenos Aires Dr
North Richlnd Hls, TX 76180
Phone (817) 281-8245

920 Santa Fe Dr
Ste 103
Weatherford, TX 76086
Phone (817) 339-8855

Interoperability endpoints

  • Direct secure messaging: jaimie.story.p1@direct.thc.nextgenshare.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1624924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624924800000",
    "number": "1003486226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 ORTHOPEDIC WAY",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760151629",
            "telephone_number": "817-375-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6900 HARRIS PKWY STE 310",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761324261",
            "telephone_number": "817-375-5200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 Orthopedic Way",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "TX",
            "postal_code": "760151629",
            "country_code": "US",
            "telephone_number": "817-375-5200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2801 E Broad St",
            "address_purpose": "LOCATION",
            "city": "Mansfield",
            "state": "TX",
            "postal_code": "760639128",
            "country_code": "US",
            "telephone_number": "817-375-5200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STORY",
        "first_name": "JAIMIE",
        "middle_name": "ANN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-29",
        "last_updated": "2021-06-29",
        "certification_date": "2021-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA14727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.