Individual provider Active NPI

Jordan Michelle Minor, PT, DPT

  • Physical Therapist
  • Overland Park, KS
National Provider Identifier
1700585296
Registry record updated Feb 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11-07280 Issued in KS
Practice address
15100 Metcalf Ave Ste 102
Overland Park, KS 66223-2899
Phone
(913) 681-0606
NPI assigned
Feb 23, 2023
Last updated
Feb 23, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 11-07280 KS Primary

Addresses

Primary practice location

15100 Metcalf Ave Ste 102
Overland Park, KS 66223-2899

Mailing address

8451 Renner Blvd
Apt 3109
Lenexa, KS 66219-8527
Phone (417) 849-2009

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, MO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230822004117 KS Practitioner - Physical Therapist in Private Practice 5698138717 Reassigns benefits to 1 organization
I20250417002001 MO Practitioner - Physical Therapist in Private Practice 5698138717 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Preferred PT LLCGroup PAC ID 9436447422, shared by 2 NPIs, 48 clinicians

Practice addresses (Care Compare)

2040 Hutton Rd
Suite 104
Kansas City, KS 66109-4566
Phone (913) 725-8340

373 W 101St Ter
220 Preferred PT Wornall
Kansas City, MO 64114-4408
Phone (816) 489-4161

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Practice roles

OrganizationSpecialtyStatusNew patients
Preferred PT, LLC Physical Therapist CurrentSince Jan 17, 2025 Accepting new patients
Preferred PT LLC Physical Therapist CurrentSince Nov 4, 2024 Accepting new patients
Preferred PT LLC Physical Therapist Current Accepting new patients
Preferred PT, LLC Physical Therapist CurrentSince Nov 4, 2024 Accepting new patients

Locations

2040 Hutton Rd
Ste 104
Kansas City, KS 66109
Phone (913) 725-8340

8550 Marshall Dr
Ste 210
Overland Park, KS 66214
Phone (913) 492-0333

1650 Lyndon Farm Ct
Ste 300
Louisville, KY 40223
Phone (726) 202-3039

101 NW Englewood Rd
Ste 110
Kansas City, MO 64118
Phone (816) 413-0900

373 W 101st Ter
Ste 220
Kansas City, MO 64114
Phone (816) 489-4161

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1677110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677110400000",
    "number": "1700585296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8451 RENNER BLVD",
            "address_2": "APT 3109",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662198527",
            "telephone_number": "417-849-2009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15100 METCALF AVE STE 102",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662232899",
            "telephone_number": "913-681-0606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINOR",
        "first_name": "JORDAN",
        "middle_name": "MICHELLE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-23",
        "last_updated": "2023-02-23",
        "certification_date": "2023-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "11-07280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2023; 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.