Individual provider Active NPI

Jacqueline Renee Winter, DPT, ATC

  • Physical Therapist
  • Kansas City, MO
National Provider Identifier
1093381352
Registry record updated Mar 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2015003535 Issued in MO
Practice address
8250 N Church Rd Ste B
Kansas City, MO 64158-1103
Phone
(816) 503-8371
NPI assigned
May 27, 2021
Last updated
Mar 27, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2015003535 MO Primary

Addresses

Primary practice location

8250 N Church Rd Ste B
Kansas City, MO 64158-1103

Mailing address

19620 E 6TH Ter N
Independence, MO 64056-2264
Phone (660) 492-3428

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210728000694 MO Practitioner - Physical Therapist in Private Practice 2264835297 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Select Physical Therapy Holdings IncGroup PAC ID 9537076401, 1,992 clinicians

Practice addresses (Care Compare)

741 Watson Dr
Suite Bandc
Kearney, MO 64060-4500
Phone (816) 551-3370

8250 N Church Rd
Suite B
Kansas City, MO 64158-1103
Phone (816) 792-0524

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Select Physical Therapy Holdings Inc Physical Therapist Current Accepting new patients
Select Physical Therapy Holdings Inc CurrentSince Jun 6, 2022 Accepting new patients
Select Physical Therapy Holdings, Inc. CurrentSince Jun 6, 2022 Accepting new patients

Locations

200 N Keene St
Columbia, MO 65201
Phone (573) 874-0001

200 NE 54th St
Ste 101
Kansas City, MO 64118
Phone (816) 455-0301

8250 N Church Rd
Ste B
Kansas City, MO 64158
Phone (816) 503-8371

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1622073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774569600000",
    "number": "1093381352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19620 E 6TH TER N",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640562264",
            "telephone_number": "660-492-3428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8250 N CHURCH RD STE B",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641581103",
            "telephone_number": "816-503-8371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINTER",
        "first_name": "JACQUELINE",
        "middle_name": "RENEE",
        "credential": "DPT, ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-27",
        "last_updated": "2026-03-27",
        "certification_date": "2026-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2015003535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2026; 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.