Active NPI
David A. Jerabek, PT,
- Physical Therapist
- Fort Riley, KS
National Provider Identifier
1023022001
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11-03464
- Practice address
- Irwin Army Community Hospital
600 Caisson Hill Road
Fort Riley, KS 66442-5037 - Phone
- (785) 239-7155
- Fax
- (785) 239-7364
- NPI assigned
- Jul 28, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 11-03464 | KS | Primary |
Addresses
Primary practice location
Irwin Army Community Hospital
600 Caisson Hill Road
Fort Riley, KS 66442-5037
Mailing address
Irwin Army Community Hospital
600 Caisson Hill Road
Fort Riley, KS 66442-5037
Phone (785) 239-7155
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11-03464 | KS | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1023022001",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "IRWIN ARMY COMMUNITY HOSPITAL",
"address_2": "600 CAISSON HILL ROAD",
"city": "FORT RILEY",
"state": "KS",
"postal_code": "664425037",
"telephone_number": "785-239-7155",
"fax_number": "785-239-7364"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "IRWIN ARMY COMMUNITY HOSPITAL",
"address_2": "600 CAISSON HILL ROAD",
"city": "FORT RILEY",
"state": "KS",
"postal_code": "664425037",
"telephone_number": "785-239-7155",
"fax_number": "785-239-7364"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JERABEK",
"first_name": "DAVID",
"middle_name": "A.",
"credential": "PT,",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KS",
"license": "11-03464",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Riley, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.