Individual provider Active NPI

Jessica A Craine, DPT

  • Physical Therapist
  • Kansas City, MO
National Provider Identifier
1205196342
Registry record updated Sep 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
KS11-04158 Issued in KS
Practice address
8434 Ward Pkwy
Kansas City, MO 64114-2031
Phone
(816) 237-1926
Fax
(816) 237-1983
NPI assigned
May 23, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X KS11-04158 KS Primary
Physical Therapist 225100000X 2013032376 MO

Addresses

Primary practice location

8434 Ward Pkwy
Kansas City, MO 64114-2031

Mailing address

8434 Ward Pkwy
Kansas City, MO 64114-2031
Phone (816) 237-1926

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

LicenseStateTypeSpecialty
KS11-04158KSMDPhysical Therapist
2013032376MOMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bluestem Therapy Inc Physical Therapist CurrentSince May 1, 2024 Accepting new patients

Locations

701 S Main St
Hesston, KS 67062
Phone (316) 283-7187

200 W Cedar St
Hesston, KS 67062
Phone (620) 327-0400

3001 Ivy Dr
North Newton, KS 67117
Phone (316) 284-2900

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1337731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378080000000",
    "number": "1205196342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8434 WARD PKWY",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641142031",
            "telephone_number": "816-237-1926",
            "fax_number": "816-237-1983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8434 WARD PKWY",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641142031",
            "telephone_number": "816-237-1926",
            "fax_number": "816-237-1983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAINE",
        "first_name": "JESSICA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-23",
        "last_updated": "2013-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "KS11-04158",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2013032376",
            "primary": false
        }
    ],
    "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 Sep 2, 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.