Individual provider Active NPI

Connor Jonas

  • Physical Therapist
  • Grain Valley, MO
National Provider Identifier
1215891734
Registry record updated Dec 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2025004394 Issued in MO
Practice address
1207 NW Pamela Blvd
Grain Valley, MO 64029-7844
Phone
(816) 867-6022
NPI assigned
Dec 10, 2025
Sex
Male
Sole proprietor
Yes

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.

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2025004394MOMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Upward Physical Therapy, LLC Physical Therapist CurrentSince Dec 14, 2025 Accepting new patients

Locations

1207 NW Pamela Blvd
Grain Valley, MO 64029
Phone (660) 646-9043

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 2025004394 MO Primary

Addresses

NPPES NPI Registry

Primary practice location

1207 NW Pamela Blvd
Grain Valley, MO 64029-7844

Mailing address

1207 NW Pamela Blvd
Grain Valley, MO 64029-7844
Phone (816) 867-6022

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 10, 2025.

{
    "created_epoch": "1765324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765324800000",
    "number": "1215891734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1207 NW PAMELA BLVD",
            "city": "GRAIN VALLEY",
            "state": "MO",
            "postal_code": "640297844",
            "telephone_number": "816-867-6022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1207 NW PAMELA BLVD",
            "city": "GRAIN VALLEY",
            "state": "MO",
            "postal_code": "640297844",
            "telephone_number": "816-867-6022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONAS",
        "first_name": "CONNOR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-12-10",
        "last_updated": "2025-12-10",
        "certification_date": "2025-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2025004394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grain Valley, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2025; 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.