Jet Therapy LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

JET THERAPY LLC

Practice address

109 N Lincoln Dr Ste a
Troy, MO 63379-1426

Phone

(636) 775-9200

Fax

(636) 775-9201

NPI assigned

Jan 6, 2015

Last updated

Feb 21, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Justin TepenNPI 1922334598

Title

Owner

Phone

(636) 356-1121

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Justin Emil Tepen, D.P.T.

  • Physical Therapist
  • Columbia, MO
  • NPI 1922334598
  Medicare reassignment Care Compare group NPD Authorized official
• Whitney Livingston, DPT

  • Physical Therapist
  • O'Fallon, MO
  • NPI 1154976421
  Medicare reassignment Care Compare group NPD
• Donnetta Lynn Wilkerson, PHYSICAL THERAPIST

  • Physical Therapist
  • Jefferson City, MO
  • NPI 1508094251
  Medicare reassignment Care Compare group NPD
• Ryan Schneider, PA-C, ATC

  • Physician Assistant
  • Elgin, IL
  • NPI 1992160881
  NPD (past)

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

{
    "created_epoch": "1420502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740096000000",
    "number": "1861880361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 N LINCOLN DR STE A",
            "city": "TROY",
            "state": "MO",
            "postal_code": "633791426",
            "telephone_number": "636-775-9200",
            "fax_number": "636-775-9201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 N LINCOLN DR STE A",
            "city": "TROY",
            "state": "MO",
            "postal_code": "633791426",
            "telephone_number": "636-775-9200",
            "fax_number": "636-775-9201"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "252 North Service Road",
            "address_2": "Ste 110",
            "address_purpose": "LOCATION",
            "city": "Wright City",
            "state": "MO",
            "postal_code": "63390",
            "country_code": "US",
            "telephone_number": "636-791-1080",
            "fax_number": "636-791-1025",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JET THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-06",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-19",
        "status": "A",
        "authorized_official_last_name": "TEPEN",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "636-356-1121",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Julie Irwin, FNP-BC
• Thomas Anthony Jakuboski, R.PH.
• Samantha Elizabeth Jeter
• Bradford Dwight Jines, DC
• John T Werenski, DC LLC
• Stephanie Johnson, LPC
• Keith Jones, LPC

• Physical Therapist in Troy, MO
• Providers in Troy, MO by specialty
• Physical Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.