Jack Taber

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

11-07849 Issued in KS

Practice address

3636 W 135TH St
Overland Park, KS 66224-7610

Phone

(913) 632-4765

NPI assigned

Aug 19, 2025

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Shawnee Mission Medical Center, Inc.

  • Radiology Clinic/Center
  • Roeland Park, KS
  • NPI 1578178521
  NPD (past)

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

{
    "created_epoch": "1755561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755561600000",
    "number": "1013894302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3636 W 135TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662247610",
            "telephone_number": "913-632-4765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3636 W 135TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662247610",
            "telephone_number": "913-632-4765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TABER",
        "first_name": "JACK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-08-19",
        "last_updated": "2025-08-19",
        "certification_date": "2025-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "KS",
            "license": "11-07849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsay Ann Szablewski, TLMSW
• Claudia Anna Szymala
• T & J Medical Solutions Corporation
• T C J Enterprise
• Kelly Nicole Tabacchi, DDS
• Kaitlyn Tabor-Fry
• Tadros Internal Medicine Consultants, Inc
• Magdy Monir Tadros, MD
• Mehdi Taghizadeh, APRN
• Take Care Health Kansas, PA

• Orthopedic Physical Therapist in Overland Park, KS
• Providers in Overland Park, KS by specialty
• Orthopedic Physical Therapist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2025; 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.