Active NPI
Jessica Gleason, PT
- Occupational Medicine Physician
- Florissant, MO
National Provider Identifier
1811157399
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Medicine Physician
- License
- 112676
- Practice address
- 790 N Highway 67
Florissant, MO 63031 - Phone
- (314) 972-1442
- Fax
- (314) 972-1533
- NPI assigned
- Jun 10, 2008
- Last updated
- Nov 11, 2008
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Occupational Medicine Physician | 2083X0100X | 112676 | MO | Primary |
Addresses
Primary practice location
790 N Highway 67
Florissant, MO 63031
Mailing address
13537 Barrett Parkway Drive
Suite 105
Ballwin, MO 63021
Phone (314) 821-9126
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 |
|---|---|---|---|
| 112676 | MO | MD | Occupational Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1226361600000",
"number": "1811157399",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13537 BARRETT PARKWAY DRIVE",
"address_2": "SUITE 105",
"city": "BALLWIN",
"state": "MO",
"postal_code": "63021",
"telephone_number": "314-821-9126",
"fax_number": "314-821-9142"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "790 N HIGHWAY 67",
"city": "FLORISSANT",
"state": "MO",
"postal_code": "63031",
"telephone_number": "314-972-1442",
"fax_number": "314-972-1533"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLEASON",
"first_name": "JESSICA",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-10",
"last_updated": "2008-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "2083X0100X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Occupational Medicine",
"state": "MO",
"license": "112676",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Florissant, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 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.