Individual provider Active NPI

Jayme L Kral, PT

  • Physical Therapist
  • Leavenworth, KS
National Provider Identifier
1881704500
Registry record updated Feb 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11-03337 Issued in KS
Practice address
920 6TH Ave
#207
Leavenworth, KS 66048-3225
Phone
(913) 940-6423
NPI assigned
Aug 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 11-03337 KS Primary
Physical Therapist 225100000X 2003022486 MO

Addresses

Primary practice location

920 6TH Ave
#207
Leavenworth, KS 66048-3225

Mailing address

920 6TH Ave
#207
Leavenworth, KS 66048-3225

Other identifiers 1

IdentifierTypeStateIssuer
33429024OtherKSBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080218000634 KS Practitioner - Physical Therapist in Private Practice 1254332620 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Summit Care, LLCGroup PAC ID 7315073954, 10 clinicians

Practice addresses (Care Compare)

1400 S 183Rd St W
Goddard, KS 67052-9357
Phone (316) 550-6343

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11-03337KSMDPhysical Therapist
2003022486MOMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Care, LLC Physical Therapist CurrentSince Apr 25, 2018 Accepting new patients

Locations

6731 W 121st St
Ste 100
Overland Park, KS 66209
Phone (913) 239-8777

6830 W 121st Ct
Overland Park, KS 66209
Phone (913) 239-8777

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.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298160000000",
    "number": "1881704500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 6TH AVE",
            "address_2": "#207",
            "city": "LEAVENWORTH",
            "state": "KS",
            "postal_code": "660483225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 6TH AVE",
            "address_2": "#207",
            "city": "LEAVENWORTH",
            "state": "KS",
            "postal_code": "660483225",
            "telephone_number": "913-940-6423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAL",
        "first_name": "JAYME",
        "middle_name": "L",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2011-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "11-03337",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2003022486",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "33429024",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Leavenworth, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2011; 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.