Active NPI
Jody Lynn Vesper, P.T.
- Physical Therapist
- Sterling, KS
National Provider Identifier
1174718753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11-03746
- Practice address
- 204 W Washington Ave
Sterling, KS 67579-1614 - Phone
- (620) 278-3651
- Fax
- (620) 278-2564
- NPI assigned
- Sep 7, 2007
- Last updated
- Aug 12, 2011
- Sex
- Female
- 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 | 11-03746 | KS | Primary |
Addresses
Primary practice location
204 W Washington Ave
Sterling, KS 67579-1614
Mailing address
7733 Forsyth Blvd Ste 2300
Saint Louis, MO 63105-1806
Phone (180) 667-1238
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11-03746 | KS | MD | Physical Therapist |
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": "1313107200000",
"number": "1174718753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7733 FORSYTH BLVD STE 2300",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631051806",
"telephone_number": "180-667-1238"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "204 W WASHINGTON AVE",
"city": "STERLING",
"state": "KS",
"postal_code": "675791614",
"telephone_number": "620-278-3651",
"fax_number": "620-278-2564"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VESPER",
"first_name": "JODY",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-09-07",
"last_updated": "2011-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KS",
"license": "11-03746",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sterling, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.