Jamieca Del Pilar Bascos, BSPT
Individual provider Active NPI Physical Therapist · Kearney, MO
NPI 1487298147 · NPPES record last updated Nov 11, 2021
Key facts
- NPI
- 1487298147
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 2019036732 (MO)
- Practice address
- 101 W 92 Hwy Ste H
Kearney, MO 64060-7591 - Phone
- (816) 903-0777
- Fax
- (816) 903-0776
- NPI assigned
- Nov 5, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.32 of 100
- Quality
- 84.44
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 70.78
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211116001726 | MO | Practitioner - Physical Therapist in Private Practice | 1658760483 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11-06147 | KS | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Athletico LTD | Physical Therapist | Current | Accepting new patients |
| Athletico LTD | Physical Therapist | Current |
Accepting new patients |
| Athletico LTD | Physical Therapist | Current |
Accepting new patients |
Locations
2122 York Rd
Ste 300
Oak Brook, IL 60523
Phone (630) 575-6250
229 S Stewart Rd
Ste E3
Liberty, MO 64068
Phone (816) 656-3695
1418 W Saint Joseph St
Ste 170
Perryville, MO 63775
Phone (573) 513-8170
2007 W Foxwood Dr
Ste D
Raymore, MO 64083
Phone (816) 265-8116
1832 Wentzville Pkwy
Wentzville, MO 63385
Phone (636) 327-7110
Interoperability endpoints
- jamieca.plummer.p2@direct.athleticoltd.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 11-06147 | KS | |
| Physical Therapist | 225100000X | 2019036732 | MO | Yes |
Addresses
Primary practice location
101 W 92 Hwy Ste H
Kearney, MO 64060-7591
Mailing address
1580 Sawgrass Corporate Pkwy Ste 200
Sunrise, FL 33323-2869
Phone (954) 298-2207
Other practice location 1
1580 Sawgrass Corporate Pkwy Ste 200
Sunrise, FL 33323-2869
Phone (954) 298-2207
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Sunrise |
Other providers in Kearney, MO
- Kevin C Allman
- Alyssa Alvarado
- Assist Therapy, Inc.
- Barry V. Bowles, O.D.,P.C.
- John D Barth
- Rachel Lee Bears
- Bennett Eyecare Midwest LLC
- Angela Bennett
- Marisa Jo Bennett
- Christina Joan Blanton
All providers in Kearney, MO · Physical Therapist in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 11, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.