Jamie Edwards, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2018043371 Issued in MO

Practice address

1301 E Sunshine St
Springfield, MO 65804

Phone

(417) 889-4800

NPI assigned

Oct 14, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Jamie Fritts Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Core Medical and Aesthetics LLCGroup PAC ID 6103341557, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Core Medical & Aesthetics, LLC

  • Nurse Practitioner
  • Springfield, MO
  • NPI 1245048255
  Medicare reassignment Care Compare group NPD
• Willard Physical Therapy Center LLC

  • Physical Therapy Clinic/Center
  • Willard, MO
  • NPI 1528737780

  Physical Therapist

  Medicare reassignment NPD

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

{
    "created_epoch": "1571011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571011200000",
    "number": "1518509322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9163",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "65801",
            "telephone_number": "417-889-4800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 E SUNSHINE ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "65804",
            "telephone_number": "417-889-4800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1845 E Turner Street",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MO",
            "postal_code": "65803",
            "country_code": "US",
            "telephone_number": "417-889-4800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1758 S 20th Street",
            "address_purpose": "LOCATION",
            "city": "Ozark",
            "state": "MO",
            "postal_code": "65721",
            "country_code": "US",
            "telephone_number": "417-889-4800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "864 US Hwy 60 Ste A",
            "address_purpose": "LOCATION",
            "city": "Monett",
            "state": "MO",
            "postal_code": "65708",
            "country_code": "US",
            "telephone_number": "417-889-4800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "JAMIE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-14",
        "last_updated": "2019-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2018043371",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE #",
            "identifier": "2018043371",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tluecke@imacrc.com",
            "affiliation": "N",
            "address_1": "1301 E Sunshine St",
            "city": "Springfield",
            "state": "MO",
            "country_code": "US",
            "postal_code": "65804",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JAMIE",
            "last_name": "FRITTS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Edward Gwin M.D., LLC
• Alice R Edwards, D.O.
• Christopher A. Edwards, MD
• Daniel Joseph Edwards, ATC
• Darrell Dewain Edwards
• Lauren Ashley Edwards, MS, LPC
• Sophia Y Edwards, LMSW
• Troy M. Egan, CRNA
• Anne Marsh Egbert, M.D.
• Polly Ann Egbert, CCC-SLP

• Physical Therapist in Springfield, MO
• Providers in Springfield, MO by specialty
• Physical Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.