Individual provider Active NPI

Jessica K. Edwards-Perrin

  • Physical Therapist
  • Lenexa, KS
National Provider Identifier
1386807667
Registry record updated Aug 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2007028779 Issued in MO
Practice address
8550 Marshall Dr Ste 210
Lenexa, KS 66214
Phone
(913) 492-0333
Fax
(913) 492-0334
NPI assigned
Jul 7, 2008
Last updated
Aug 16, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2018

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 11-04708 KS
Physical Therapist 225100000X 2007028779 MO Primary

Addresses

Primary practice location

8550 Marshall Dr Ste 210
Lenexa, KS 66214

Mailing address

200 W Douglas Ave Ste 1040
Wichita, KS 67202-3017
Phone (316) 263-0003

Other practice location 1

2133 NW 13th St
Blue Springs, MO 64015-7734
Phone (816) 224-0003

Other names 1

  • Jessica K. Meyer Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140322000166 MO Practitioner - Physical Therapist in Private Practice 7214168939 Reassigns benefits to 1 organization
I20140424002010 KS Practitioner - Physical Therapist in Private Practice 7214168939 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11-04708KSMDPhysical Therapist
2007028779MOMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Preferred PT LLC Physical Therapist CurrentSince Nov 1, 2016 Accepting new patients
Advanced PT, LLC Physical Therapist CurrentSince Jan 1, 2014 Accepting new patients
Preferred PT LLC Physical Therapist Current Accepting new patients
Preferred PT, LLC Physical Therapist CurrentSince Nov 1, 2016 Accepting new patients
Advanced PT LLC Physical Therapist Current Accepting new patients
Preferred PT, LLC Physical Therapist CurrentSince Nov 1, 2016 Accepting new patients
Paul Chang, R.P.T. P.C. Past Accepting new patients
Paul Chang, R.P.T., P.C. Physical Therapist Past Accepting new patients

Locations

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

3730 N Ridge Rd
Ste 500
Wichita, KS 67205
Phone (316) 440-4901

200 W Douglas Ave
Ste 1040
Wichita, KS 67202
Phone (866) 412-5554

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

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

Organizations & group practices 9

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": "1215388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534377600000",
    "number": "1386807667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W DOUGLAS AVE STE 1040",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672023017",
            "telephone_number": "316-263-0003",
            "fax_number": "316-263-1241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8550 MARSHALL DR STE 210",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "66214",
            "telephone_number": "913-492-0333",
            "fax_number": "913-492-0334"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2133 NW 13th St",
            "address_purpose": "LOCATION",
            "city": "Blue Springs",
            "state": "MO",
            "postal_code": "640157734",
            "country_code": "US",
            "telephone_number": "816-224-0003",
            "fax_number": "816-224-2199",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDWARDS-PERRIN",
        "first_name": "JESSICA",
        "middle_name": "K.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-07",
        "last_updated": "2018-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "11-04708",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2007028779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "MEYER",
            "middle_name": "K.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lenexa, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.