Individual provider Active NPI

Jason Herold, D.P.T.

  • Physical Therapist
  • Independence, MO
National Provider Identifier
1043651771
Registry record updated Jul 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2013023642 Issued in MO
Practice address
4460 S Noland Rd
Independence, MO 64055-4743
Phone
(816) 373-2845
NPI assigned
Jul 10, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2013023642 MO Primary
Physical Therapist 225100000X 11-04610 KS

Addresses

Primary practice location

4460 S Noland Rd
Independence, MO 64055-4743

Mailing address

2219 W 79TH St
Prairie Village, KS 66208-3827
Phone (970) 691-5252

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140617001213 MO Practitioner - Physical Therapist in Private Practice 2365666104 Reassigns benefits to 1 organization
I20180808003371 KS Practitioner - Physical Therapist in Private Practice 2365666104 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Kansas School of Med (KC/Wich/Sal), 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arc Physical Therapy Plus LPGroup PAC ID 6204050453, 59 clinicians

Practice addresses (Care Compare)

15455 S Rogers Rd
Olathe, KS 66062-3497
Phone (913) 254-0568

1711 W Battlefield St
Suite Q
Springfield, MO 65807-4183
Phone (417) 799-3377

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Arc Physical Therapy Plus LP Physical Therapist CurrentSince Jun 1, 2014 Accepting new patients
Arc Physical Therapy Plus LP CurrentSince Jun 1, 2014 Accepting new patients

Locations

15455 S Rogers Rd
Olathe, KS 66062
Phone (913) 254-0568

6400 Glenwood St
Ste 111
Overland Park, KS 66202
Phone (877) 344-2721

505 NE Adams Dairy Pkwy
Ste A
Blue Springs, MO 64014
Phone (816) 988-2800

609 E Platte Clay Way
Ste B
Cameron, MO 64429
Phone (816) 632-3221

4460 S Noland Rd
Independence, MO 64055
Phone (816) 373-2842

744 W Stadium Blvd
Ste E
Jefferson City, MO 65109
Phone (573) 418-3990

4500 E 32nd St
#B
Joplin, MO 64804
Phone (417) 680-0806

527 N State Route 291
Ste A
Liberty, MO 64068
Phone (816) 792-0849

2000 Kentucky Ave
Ste D
Platte City, MO 64079
Phone (816) 858-2368

1906 N Belt Hwy
#B
Saint Joseph, MO 64506
Phone (816) 232-1137

1711 W Battlefield St
Ste Q
Springfield, MO 65807
Phone (417) 799-3377

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1373414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373414400000",
    "number": "1043651771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2219 W 79TH ST",
            "city": "PRAIRIE VILLAGE",
            "state": "KS",
            "postal_code": "662083827",
            "telephone_number": "970-691-5252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4460 S NOLAND RD",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640554743",
            "telephone_number": "816-373-2845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEROLD",
        "first_name": "JASON",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-10",
        "last_updated": "2013-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2013023642",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "11-04610",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Independence, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.