Active NPI
Jeremy Edward Jones, P.T.
- Physical Therapist
- Lees Summit, MO
National Provider Identifier
1629341979
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2004033198
- Practice address
- 1449 SW Madison St
Lees Summit, MO 64081-3508 - Phone
- (816) 600-6000
- NPI assigned
- Feb 16, 2012
- Sex
- Male
- 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 | 2004033198 | MO | Primary |
Addresses
Primary practice location
1449 SW Madison St
Lees Summit, MO 64081-3508
Mailing address
1449 SW Madison St
Lees Summit, MO 64081-3508
Phone (816) 600-6000
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2004033198 | MO | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reliant Care Rehabilitative Services L L C | Past | 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.
-
- Physical Therapy Clinic/Center
- Columbia, MO
- NPI 1902188287
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1329350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1329350400000",
"number": "1629341979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1449 SW MADISON ST",
"city": "LEES SUMMIT",
"state": "MO",
"postal_code": "640813508",
"telephone_number": "816-600-6000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1449 SW MADISON ST",
"city": "LEES SUMMIT",
"state": "MO",
"postal_code": "640813508",
"telephone_number": "816-600-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "JEREMY",
"middle_name": "EDWARD",
"name_prefix": "Mr.",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-02-16",
"last_updated": "2012-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MO",
"license": "2004033198",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lees Summit, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.