Individual provider Active NPI

Jolynn R Smith, PTA/ATC

  • Physical Therapy Assistant
  • Overland Park, KS
National Provider Identifier
1487688354
Registry record updated Jan 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
14-0550 Issued in KS
Practice address
6405 Metcalf Ave
Ste. 220
Overland Park, KS 66202-3931
Phone
(913) 871-2721
NPI assigned
Jul 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2010

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 14-0550 KS Primary
Physical Therapy Assistant 225200000X 2002009370 MO
Athletic Trainer 2255A2300X 24-00448 KS
Athletic Trainer 2255A2300X 2005017782 MO

Addresses

Primary practice location

6405 Metcalf Ave
Ste. 220
Overland Park, KS 66202-3931

Mailing address

6405 Metcalf Ave
Ste. 220
Overland Park, KS 66202-3931
Phone (913) 871-2721

Other names 1

  • Jolynn Ohlde Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
14-0550KSMDPhysical Therapy Assistant
2002009370MOMDPhysical Therapy Assistant
24-00448KSMDAthletic Trainer
2005017782MOMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Arc Rehabilitation Services, LLC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264723200000",
    "number": "1487688354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6405 METCALF AVE",
            "address_2": "STE. 220",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662023931",
            "telephone_number": "913-871-2721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6405 METCALF AVE",
            "address_2": "STE. 220",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662023931",
            "telephone_number": "913-871-2721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JOLYNN",
        "middle_name": "R",
        "credential": "PTA/ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2010-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "KS",
            "license": "14-0550",
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MO",
            "license": "2002009370",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "KS",
            "license": "24-00448",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MO",
            "license": "2005017782",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOLYNN",
            "last_name": "OHLDE",
            "credential": "PTA/ATC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Jan 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.