Individual provider Active NPI

Kelli Jarrard, PT, DPT

  • Physical Therapist
  • Ankeny, IA
National Provider Identifier
1497349609
Registry record updated Nov 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
094647 Issued in IA
Practice address
1360 NW 18TH St Ste 101
Ankeny, IA 50023-9105
Phone
(515) 207-0332
NPI assigned
Feb 28, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 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 094647 IA Primary

Addresses

Primary practice location

1360 NW 18TH St Ste 101
Ankeny, IA 50023-9105

Mailing address

1730 NE Gateway CT Apt 203
Grimes, IA 50111-5252
Phone (319) 400-1631

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
094647IAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Strongher Physical Therapy and Performance Current 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": "1614470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699228800000",
    "number": "1497349609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1730 NE GATEWAY CT APT 203",
            "city": "GRIMES",
            "state": "IA",
            "postal_code": "501115252",
            "telephone_number": "319-400-1631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1360 NW 18TH ST STE 101",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500239105",
            "telephone_number": "515-207-0332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JARRARD",
        "first_name": "KELLI",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-28",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "094647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ankeny, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2023; 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.