Active NPI
Jessica Jane Larson, PT
- Physical Therapist
- Overland Park, KS
National Provider Identifier
1548433675
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2249
- Practice address
- 10300 W 103Rd St
Suite 300
Overland Park, KS 66214-2642 - Phone
- (913) 894-1910
- NPI assigned
- Apr 9, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 | 2249 | NE | Primary |
Addresses
Primary practice location
10300 W 103Rd St
Suite 300
Overland Park, KS 66214-2642
Mailing address
2711 Country Club Ave
Omaha, NE 68104-4222
Phone (402) 505-3294
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2249 | Other | NE | STATE LICENSE |
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 |
|---|---|---|---|
| 2249 | NE | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207699200000",
"number": "1548433675",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2711 COUNTRY CLUB AVE",
"city": "OMAHA",
"state": "NE",
"postal_code": "681044222",
"telephone_number": "402-505-3294"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10300 W 103RD ST",
"address_2": "SUITE 300",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662142642",
"telephone_number": "913-894-1910"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LARSON",
"first_name": "JESSICA",
"middle_name": "JANE",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-04-09",
"last_updated": "2008-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NE",
"license": "2249",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "2249",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}Other providers in Overland Park, KS
- Jenna Rae Laporte
- Lara L Tull Ryan DDS Ms PA (Johnson County Periodontics Dental Implants & Laser Surgery)
- Patricia Pemberton Laramore, DO
- Alexis Larson, PT, DPT
- Chandra Rae Larson, D.C.
- Kelly Marie Larson, P.T.
- Sarah Larson, APRN
- Sharleen Kay Larue, PT
- Elizabeth Shannon Lasater
- Laser Chiropractic LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.