Stephen D Jernigan, MSPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

11-03056 Issued in KS

Practice address

3901 Rainbow Blvd
2032 Son-Mail Stop 4043
Kansas City, KS 66103-2937

Phone

(913) 522-4894

Fax

(713) 344-9420

NPI assigned

Sep 11, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1252627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252627200000",
    "number": "1780917591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 307",
            "city": "STILWELL",
            "state": "KS",
            "postal_code": "660850307",
            "telephone_number": "913-522-4894",
            "fax_number": "713-344-9420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 RAINBOW BLVD",
            "address_2": "2032 SON-MAIL STOP 4043",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661032937",
            "telephone_number": "913-522-4894",
            "fax_number": "713-344-9420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JERNIGAN",
        "first_name": "STEPHEN",
        "middle_name": "D",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-09-11",
        "last_updated": "2009-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "11-03056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denzle Brayden Jensen, MD
• Derek Jensen, M.D.
• Roy A Jensen, MD
• Hannah Jeong
• Stephanie L Jernigan, ARNP
• Carol Elaine Jespersen, RN
• Terry J Jett, PT, MBA, FACHE, FABC
• Andrea Danielle Jewell, M.D.
• William R Jewell, MD
• Yoon Ji, DO

• Physical Therapist in Kansas City, KS
• Providers in Kansas City, KS by specialty
• Physical Therapist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2009; 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.