Active NPI
Hassan R Jafri, PT, DPT
- Geriatric Physical Therapist
- St. Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Physical Therapist
- License
- 2012012469
- Practice address
- 1722 Olive
Sutie 201
St. Louis, MO 63103 - Phone
- (314) 467-8506
- NPI assigned
- Mar 18, 2013
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Physical Therapist | 2251G0304X | 2012012469 | MO | Primary |
| Sports Physical Therapist | 2251S0007X | 2012012469 | MO | |
| Orthopedic Physical Therapist | 2251X0800X | 2012012469 | MO |
Addresses
Primary practice location
1722 Olive
Sutie 201
St. Louis, MO 63103
Mailing address
1722 Olive
#201 (Invigorate Rehab)
St. Louis, MO 63103
Phone (314) 467-8506
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12800 Boenker LN
Bridgeton, MO 63044-2438
Phone (314) 499-6060
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yam Medical Center LLC | Geriatrics | Current | Accepting new patients |
| Invigorate Rehab Inc | Geriatrics | Current | Accepting new patients |
| Yam Home Health LLC | Current | Accepting new patients |
Locations
12800 Boenker Ln
Bridgeton, MO 63044
Phone (314) 499-6060
1722 Olive St
Ste 201
Saint Louis, MO 63103
Phone (314) 467-8506
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Yam Home Health LLC | Home health agency | 5% Or Greater Direct Ownership Interest (100%) Corporate Officer Corporate Director |
Nov 8, 2019 Nov 8, 2019 Nov 8, 2019 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Home Health Agency
- Bridgeton, MO
- NPI 1457985178
5% Or Greater Direct Ownership Interest, Corporate Director, Corporate Officer
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 and National Provider Directory roles.
-
- Home Health Agency
- Bridgeton, MO
- NPI 1457985178
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363564800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363564800000",
"number": "1194067116",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1722 OLIVE",
"address_2": "#201 (INVIGORATE REHAB)",
"city": "ST. LOUIS",
"state": "MO",
"postal_code": "63103",
"telephone_number": "314-467-8506"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1722 OLIVE",
"address_2": "SUTIE 201",
"city": "ST. LOUIS",
"state": "MO",
"postal_code": "63103",
"telephone_number": "314-467-8506"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAFRI",
"first_name": "HASSAN",
"middle_name": "R",
"credential": "PT, DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-03-18",
"last_updated": "2013-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "2251G0304X",
"taxonomy_group": "",
"desc": "Physical Therapist, Geriatrics",
"state": "MO",
"license": "2012012469",
"primary": true
},
{
"code": "2251S0007X",
"taxonomy_group": "",
"desc": "Physical Therapist, Sports",
"state": "MO",
"license": "2012012469",
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "MO",
"license": "2012012469",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St. Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- 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.