Active NPI
Kara A Jersan, MSPT
- Physical Therapist
- Saint Louis, MO
National Provider Identifier
1063607638
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 118023
- Practice address
- 10 S Euclid
Suite G
Saint Louis, MO 63108 - Phone
- (314) 276-1789
- Fax
- (314) 972-0472
- NPI assigned
- Sep 7, 2007
- Last updated
- Sep 7, 2007
- 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 | 118023 | MO | Primary |
Addresses
Primary practice location
10 S Euclid
Suite G
Saint Louis, MO 63108
Mailing address
10 S Euclid
Suite G
Saint Louis, MO 63108
Phone (314) 276-1789
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 484888227 | Medicaid | MO |
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 |
|---|---|---|---|
| 118023 | MO | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| First Steps Pediatrics, LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Home Health Agency
- Saint Louis, MO
- NPI 1982752689
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1189123200000",
"number": "1063607638",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 S EUCLID",
"address_2": "SUITE G",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "63108",
"telephone_number": "314-276-1789",
"fax_number": "314-972-0472"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 S EUCLID",
"address_2": "SUITE G",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "63108",
"telephone_number": "314-276-1789",
"fax_number": "314-972-0472"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JERSAN",
"first_name": "KARA",
"middle_name": "A",
"name_prefix": "Miss",
"credential": "MSPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-07",
"last_updated": "2007-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MO",
"license": "118023",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "484888227",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.