Jamie L Dehan, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

11-03611 Issued in KS

Practice address

294 NE Tudor Rd
Lees Summit, MO 64086-5696

Phone

(816) 554-6003

Fax

(816) 554-6013

NPI assigned

Oct 18, 2006

Last updated

Feb 19, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Summit Rehabilitation and Wellness Center, LLC

  • Physical Therapy Clinic/Center
  • Lee's Summit, MO
  • NPI 1790766061
  NPD (past)
• Advanced PT LLC

  dba Preferred PT State Avenue

  • Physical Therapist
  • Kansas City, KS
  • NPI 1144251232
  NPD (past)
• Summit Rehabilitation and Wellness Center

  • Physical Therapist
  • Overland Park, KS
  • NPI 1083879662
  NPD (past)

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235001600000",
    "number": "1093896979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "294 NE TUDOR RD",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640865696",
            "telephone_number": "816-554-6003",
            "fax_number": "816-554-6013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "294 NE TUDOR RD",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640865696",
            "telephone_number": "816-554-6003",
            "fax_number": "816-554-6013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEHAN",
        "first_name": "JAMIE",
        "middle_name": "L",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-18",
        "last_updated": "2009-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "11-03611",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200417370B",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RETIRED RAILROAD MEDICARE",
            "identifier": "P00375646",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200417370A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aileen Deeter
• Michele Deeter
• Christopher Deffenbaugh, PHARMD
• Jennifer Eden Defluiter, MS CCC-SLP
• Lorlyn L Degroot, SLP
• Angela Marie Demoss
• Herbert Alexander Dempsey, M.D.
• Herbert Edward Dempsey, D.O.
• Scott A Dempsey, DDS
• Dennis a Stites DDS LLC (Stites Dental Care)

• Physical Therapist in Lee's Summit, MO
• Providers in Lee's Summit, MO by specialty
• Physical Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.