Active NPI
Laura Jarvis
- Physical Therapist
- Platte City, MO
National Provider Identifier
1053685404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2011031114
- Practice address
- 2425 NW Prairie View Rd
Platte City, MO 64079-7627 - Phone
- (816) 858-2368
- Fax
- (816) 858-2214
- NPI assigned
- Mar 2, 2012
- Sex
- Female
- 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 | 2011031114 | MO | Primary |
Addresses
Primary practice location
2425 NW Prairie View Rd
Platte City, MO 64079-7627
Mailing address
1520 E 23Rd St S
Suite D
Independence, MO 64055-1600
Phone (816) 836-0800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2011031114 | MO | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1330646400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1330646400000",
"number": "1053685404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1520 E 23RD ST S",
"address_2": "SUITE D",
"city": "INDEPENDENCE",
"state": "MO",
"postal_code": "640551600",
"telephone_number": "816-836-0800",
"fax_number": "816-836-3229"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2425 NW PRAIRIE VIEW RD",
"city": "PLATTE CITY",
"state": "MO",
"postal_code": "640797627",
"telephone_number": "816-858-2368",
"fax_number": "816-858-2214"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JARVIS",
"first_name": "LAURA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-03-02",
"last_updated": "2012-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MO",
"license": "2011031114",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Platte City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.