Active NPI
Jackson Alan Mores, PT, DPT, MPH
- Physical Therapist
- Overland Park, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11006773
- Practice address
- 10730 Nall Ave Ste 200
Overland Park, KS 66211-1285 - Phone
- (913) 588-1227
- NPI assigned
- Sep 22, 2021
- Last updated
- Aug 29, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2021032083 | MO | |
| Physical Therapist | 225100000X | 11006773 | KS | Primary |
Addresses
Primary practice location
10730 Nall Ave Ste 200
Overland Park, KS 66211-1285
Mailing address
10730 Nall Ave Ste 200
Overland Park, KS 66211-1285
Phone (913) 588-1227
Other practice location 1
8302 W 125th St
Overland Park, KS 66213-1400
Phone (913) 239-0646
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11006773 | KS | MD | Physical Therapist |
| 2021032083 | MO | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kansas University Physicians Inc | Current | Accepting new patients | |
| Kansas University Physicians Inc | Current | Accepting new patients | |
| Kansas University Physicians Inc | Current | Accepting new patients |
Locations
3901 Rainbow Blvd
Kansas City, KS 66160
Phone (913) 588-6005
11300 Corporate Ave
Ste 342
Lenexa, KS 66219
Phone (913) 574-0425
10730 Nall Ave
Ste 200
Overland Park, KS 66211
Phone (913) 574-1460
8302 W 125th St
Overland Park, KS 66213
Phone (913) 239-0646
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Kansas City, KS
- NPI 1003858333
-
dba KU Orthopedics
- Orthopaedic Surgery Physician
- Kansas City, KS
- NPI 1306982236
-
- Cardiovascular Disease Physician
- Kansas City, KS
- NPI 1407637291
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632268800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693267200000",
"number": "1477224293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10730 NALL AVE STE 200",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662111285",
"telephone_number": "913-588-1227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10730 NALL AVE STE 200",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662111285",
"telephone_number": "913-588-1227"
}
],
"practiceLocations": [
{
"address_1": "8302 W 125th St",
"address_purpose": "LOCATION",
"city": "Overland Park",
"state": "KS",
"postal_code": "662131400",
"country_code": "US",
"telephone_number": "913-239-0646",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MORES",
"first_name": "JACKSON",
"middle_name": "ALAN",
"credential": "PT, DPT, MPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-09-22",
"last_updated": "2023-08-29",
"certification_date": "2023-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MO",
"license": "2021032083",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KS",
"license": "11006773",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Overland Park, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2023; 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.