Jill Roden Duddleston, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2026035617 Issued in MO

Practice address

2303 Higgins Rd Ste a
Platte City, MO 64079-7101

Phone

(816) 858-0251

NPI assigned

Jun 15, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Specialty

Physical Therapist in Private Practice

Education

Other, 2020

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• Sumlar Therapy Service, Inc.

  • Physical Therapist
  • Ozark, AL
  • NPI 1265574990
  NPD
• Pediatric Therapy Works, PLLC

  • Speech-Language Pathologist
  • Temple, TX
  • NPI 1831574185

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1592179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785369600000",
    "number": "1265057285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "423-238-7217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2303 HIGGINS RD STE A",
            "city": "PLATTE CITY",
            "state": "MO",
            "postal_code": "640797101",
            "telephone_number": "816-858-0251"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1867 Airport Way",
            "address_purpose": "LOCATION",
            "city": "Fairbanks",
            "state": "AK",
            "postal_code": "997014054",
            "country_code": "US",
            "telephone_number": "907-452-2178",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "193 Sam Lisenby Rd",
            "address_purpose": "LOCATION",
            "city": "Ozark",
            "state": "AL",
            "postal_code": "363603048",
            "country_code": "US",
            "telephone_number": "334-445-6336",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "159 W 1st St",
            "address_purpose": "LOCATION",
            "city": "Oswego",
            "state": "NY",
            "postal_code": "131262045",
            "country_code": "US",
            "telephone_number": "315-342-9575",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "370 Green Hollow Dr",
            "address_purpose": "LOCATION",
            "city": "Temple",
            "state": "TX",
            "postal_code": "765026126",
            "country_code": "US",
            "telephone_number": "254-780-9658",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUDDLESTON",
        "first_name": "JILL",
        "middle_name": "RODEN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-15",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1407868",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2026035617",
            "primary": true
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "TX",
            "license": "1407868",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Edward Dertinger, DC
• Robert O'Dell Dingman Jr., ATC
• Karen Lee Disanto, LCSW
• Alexandra Lauren Divine
• Kristina Donathan
• Candis Diane Duecker, MS ED, LPC
• Caleb James Duesenberg
• Emily Duncan
• Chadsity L Durr
• Alyssa Louise Eaton, RBT

• Physical Therapist in Platte City, MO
• Providers in Platte City, MO by specialty
• Physical Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.

Verify at the official NPI Registry.