Jessica M Duvall, DPT

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

11-04665 Issued in KS

Practice address

5250 W 94TH Ter
Suite 200
Prairie Village, KS 66207-2502

Phone

(913) 345-1997

Fax

(913) 345-1990

NPI assigned

Sep 23, 2013

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Children'S Physical Therapy Associates LLC

  • Physical Therapy Clinic/Center
  • Prairie Village, KS
  • NPI 1518393545
  NPD (past)
• Children'S Physical Therapy LLC

  • Pediatric Physical Therapist
  • Prairie Village, KS
  • NPI 1992731699

  Pediatrics

  NPD (past)

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

{
    "created_epoch": "1379894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379894400000",
    "number": "1134555162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5250 W 94TH TER",
            "address_2": "SUITE 200",
            "city": "PRAIRIE VILLAGE",
            "state": "KS",
            "postal_code": "662072502",
            "telephone_number": "913-345-1997",
            "fax_number": "913-345-1990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5250 W 94TH TER",
            "address_2": "SUITE 200",
            "city": "PRAIRIE VILLAGE",
            "state": "KS",
            "postal_code": "662072502",
            "telephone_number": "913-345-1997",
            "fax_number": "913-345-1990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUVALL",
        "first_name": "JESSICA",
        "middle_name": "M",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-23",
        "last_updated": "2013-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "KS",
            "license": "11-04665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Derrick T Dube, D.C.
• Jaime McGinnis Duke, LPC
• Seth Dunham, LPC
• Olivia Ann Dunsmore, OTR/L
• Madeleine Dusselier, DNP, APRN, AGACNP-BC
• Catherine Dyck, LMFT
• Trinity Dye
• Diane Dyer-Chenoweth, D.D.S.
• E Kent Stevenson MD PC
• Blair Edgington

• Pediatric Physical Therapist in Prairie Village, KS
• Providers in Prairie Village, KS by specialty
• Pediatric Physical Therapist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2013; 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.