Active NPI
Jason Calder, PT
- Physical Therapist
- Kansas City, MO
National Provider Identifier
1548023765
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2004035761
- Practice address
- 5400 N Oak Trfy Ste 101
Kansas City, MO 64118-4689 - Phone
- (816) 691-1795
- Fax
- (816) 346-7049
- NPI assigned
- Jan 31, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2004035761 | MO | Primary |
Addresses
Primary practice location
5400 N Oak Trfy Ste 101
Kansas City, MO 64118-4689
Mailing address
12004 Walnut Dr
Kearney, MO 64060-9082
Phone (816) 209-5651
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2004035761 | MO | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1706659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706659200000",
"number": "1548023765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12004 WALNUT DR",
"city": "KEARNEY",
"state": "MO",
"postal_code": "640609082",
"telephone_number": "816-209-5651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5400 N OAK TRFY STE 101",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641184689",
"telephone_number": "816-691-1795",
"fax_number": "816-346-7049"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALDER",
"first_name": "JASON",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-01-31",
"last_updated": "2024-01-31",
"certification_date": "2024-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MO",
"license": "2004035761",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kansas City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.