Jennifer Chrisco, DPT

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

2013028649 Issued in MO

Practice address

8340 Mission R. Suite B
Prairie Village, KS 66206

Phone

(913) 213-3531

NPI assigned

Sep 29, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/7956/brand/3/csg/1/fhir/r4

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

• P.S. Kids, LLC

  • Pediatric Occupational Therapist
  • Saint Louis, MO
  • NPI 1528188844

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1411948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612137600000",
    "number": "1013310523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8340 MISSION RD STE B",
            "city": "PRAIRIE VILLAGE",
            "state": "KS",
            "postal_code": "662061355",
            "telephone_number": "913-213-3531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8340 MISSION R. SUITE B",
            "city": "PRAIRIE VILLAGE",
            "state": "KS",
            "postal_code": "66206",
            "telephone_number": "913-213-3531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISCO",
        "first_name": "JENNIFER",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-29",
        "last_updated": "2021-02-01",
        "certification_date": "2021-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2013028649",
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "MO",
            "license": "2013028649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Children's Mercy - Village Pediatrics (Village Pediatrics - An Affiliate of Children's Mercy)
• Children's Physical Therapy Associates LLC
• Children's Physical Therapy LLC
• Donna S. Childs, M.D.
• Adele Botan Chimi-Lakbub, PHARMD
• Mark C Chubb
• Julia Cindrich
• Claire L Barron PHD. Inc.
• Clark C. Chaney DDS, LLC.
• Alexander Clark, DDS

• Pediatric Physical Therapist in Prairie Village, KS
• Providers in Prairie Village, KS by specialty
• Pediatric Physical Therapist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.