Active NPI
Terry J Jett, PT, MBA, FACHE, FABC
- Physical Therapist
- Kansas City, KS
National Provider Identifier
1073675294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11-00961
- Practice address
- 8929 Parallel Pkwy
Kansas City, KS 66112-1689 - Phone
- (913) 596-4756
- NPI assigned
- Dec 14, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | 11-00961 | KS | Primary |
Addresses
Primary practice location
8929 Parallel Pkwy
Kansas City, KS 66112-1689
Mailing address
6917 Red Oak Drive
Shawnee, KS 66217-9538
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
- Credentials
- Master of Business Administration
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11-00961 | KS | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1073675294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6917 RED OAK DRIVE",
"city": "SHAWNEE",
"state": "KS",
"postal_code": "662179538"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8929 PARALLEL PKWY",
"city": "KANSAS CITY",
"state": "KS",
"postal_code": "661121689",
"telephone_number": "913-596-4756"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JETT",
"first_name": "TERRY",
"middle_name": "J",
"name_prefix": "Mr.",
"credential": "PT, MBA, FACHE, FABC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KS",
"license": "11-00961",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kansas City, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.