Individual provider Active NPI

Jennifer Davin, PT

  • Physical Therapist
  • Kansas City, MO
National Provider Identifier
1285402438
Registry record updated Dec 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
107848 Issued in MO
Practice address
373 W 101St Ter Ste 220
Kansas City, MO 64114-4408
Phone
(816) 489-4161
NPI assigned
Dec 18, 2023
Last updated
Dec 18, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 107848 MO Primary

Addresses

Primary practice location

373 W 101St Ter Ste 220
Kansas City, MO 64114-4408

Mailing address

1650 Lyndon Farm CT Ste 300
Louisville, KY 40223-5005
Phone (316) 263-0003

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, MO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20231221003137 KS Practitioner - Physical Therapist in Private Practice 3173973740 Reassigns benefits to 1 organization
I20240110002103 MO Practitioner - Physical Therapist in Private Practice 3173973740 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Exercise Therapy Consultants IncGroup PAC ID 1557269255, 8 clinicians

Practice addresses (Care Compare)

402 E Gregory Blvd
Suite 1
Kansas City, MO 64131-1345
Phone (816) 444-2111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Preferred PT, LLC Physical Therapist Current Accepting new patients
Preferred PT LLC Physical Therapist CurrentSince Dec 19, 2023 Accepting new patients
Preferred PT, LLC Physical Therapist CurrentSince Dec 19, 2023 Accepting new patients
Preferred PT LLC Physical Therapist CurrentSince Dec 19, 2023 Accepting new patients
Exercise Therapy Consultants, Inc. Physical Therapist CurrentSince Oct 22, 2025 Accepting new patients

Locations

8437 State Ave
Ste B
Kansas City, KS 66112
Phone (913) 299-9616

8550 Marshall Dr
Ste 210
Overland Park, KS 66214
Phone (913) 492-0333

1650 Lyndon Farm Ct
Ste 300
Louisville, KY 40223
Phone (726) 202-3039

1135 E North Ave
Belton, MO 64012
Phone (816) 331-0111

101 NW Englewood Rd
Ste 110
Kansas City, MO 64118
Phone (816) 413-0900

373 W 101st Ter
Ste 220
Kansas City, MO 64114
Phone (816) 489-4161

402 E Gregory Blvd
Ste 1
Kansas City, MO 64131
Phone (816) 444-2111

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1702857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702857600000",
    "number": "1285402438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 LYNDON FARM CT STE 300",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402235005",
            "telephone_number": "316-263-0003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "373 W 101ST TER STE 220",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641144408",
            "telephone_number": "816-489-4161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIN",
        "first_name": "JENNIFER",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-18",
        "last_updated": "2023-12-18",
        "certification_date": "2023-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "107848",
            "primary": true
        }
    ],
    "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 Dec 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.