Janice M Bode, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

11-04342 Issued in KS

Practice address

7510 State Line Rd
Suite a
Prairie Village, KS 66208-3615

Phone

(913) 291-2290

Fax

(913) 291-2449

NPI assigned

Jun 11, 2012

Last updated

Dec 30, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Janice M Dimmitt Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pam Carney PT LLC

  • Physical Therapist
  • Shawnee, KS
  • NPI 1841452943
  NPD

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

{
    "created_epoch": "1339372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451433600000",
    "number": "1225390776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7510 STATE LINE RD",
            "address_2": "SUITE A",
            "city": "PRAIRIE VILLAGE",
            "state": "KS",
            "postal_code": "662083615",
            "telephone_number": "913-291-2290",
            "fax_number": "913-291-2449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7510 STATE LINE RD",
            "address_2": "SUITE A",
            "city": "PRAIRIE VILLAGE",
            "state": "KS",
            "postal_code": "662083615",
            "telephone_number": "913-291-2290",
            "fax_number": "913-291-2449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BODE",
        "first_name": "JANICE",
        "middle_name": "M",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-11",
        "last_updated": "2015-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "01726",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "11-04342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANICE",
            "last_name": "DIMMITT",
            "middle_name": "M",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Linen Biron
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• Allyson Marie Bittner, LMFT-T
• Kerri Leigh Blair
• Yuki Block, COTA
• Kathryn Rose Boman, LMSW
• Michael Joseph Boniello, LSCSW, LCSW
• Jennifer Borman
• Scott D Born
• Elizabeth Bowman

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2015; 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.