Jeremy Matthew Sybert, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2002014672 Issued in MO

Practice address

1343 Village Dr
Saint Joseph, MO 64506-2457

Phone

(816) 232-2878

Fax

(816) 232-5056

NPI assigned

Feb 20, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629113352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1343 VILLAGE DR",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645062457",
            "telephone_number": "816-232-2878",
            "fax_number": "816-232-5056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1343 VILLAGE DR",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645062457",
            "telephone_number": "816-232-2878",
            "fax_number": "816-232-5056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SYBERT",
        "first_name": "JEREMY",
        "middle_name": "MATTHEW",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "1103197",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2002014672",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "33442011",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susan Droe Inc.
• Kaitlin Sutton, LPC
• Sweet Tooth St. Joseph
• Sweet Tooth St. Joseph Orthodontics
• Swope Health Services (Swope Health KidsCare Saint Joseph Pediatrics)
• Ali Haider Syed, DO
• Admir Syla, MD
• Julie Lynn Szymankowski, CIT
• Ruju Talati
• Tally Health Services LLC

• Physical Therapist in Saint Joseph, MO
• Providers in Saint Joseph, MO by specialty
• Physical Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.