Individual provider Active NPI

Jason Christopher Parker, PT

  • Physical Therapist
  • Liberty, MO
National Provider Identifier
1962445486
Registry record updated Dec 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2000174353 Issued in MO
Practice address
1860 N Church Rd
Suite 101
Liberty, MO 64068-7179
Phone
(816) 792-8379
Fax
(816) 792-8387
NPI assigned
Jun 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2012

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 2000174353 MO Primary

Addresses

Primary practice location

1860 N Church Rd
Suite 101
Liberty, MO 64068-7179

Mailing address

1860 N Church Rd
Suite 101
Liberty, MO 64068-7179
Phone (816) 792-8379

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070226000211 MO Practitioner - Physical Therapist in Private Practice 0446352223 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arc Physical Therapy Plus LPGroup PAC ID 6204050453, 59 clinicians

Practice addresses (Care Compare)

2000 Kentucky Ave
Suite D
Platte City, MO 64079-7714
Phone (816) 858-2368

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Arc Physical Therapy Plus LP Physical Therapist CurrentSince Dec 1, 2020 Accepting new patients
Arc Physical Therapy Plus LP CurrentSince Dec 1, 2020 Accepting new patients
Northland Physical Therapy & Rehab Services, Inc Physical Therapist PastSince Jun 1, 2004 Accepting new patients
KC Chiro, LLC PastSince Nov 8, 2024 Accepting new patients

Locations

744 W Stadium Blvd
Ste E
Jefferson City, MO 65109
Phone (573) 418-3990

527 N State Route 291
Ste A
Liberty, MO 64068
Phone (816) 792-0849

2000 Kentucky Ave
Ste D
Platte City, MO 64079
Phone (816) 858-2368

1711 W Battlefield St
Ste Q
Springfield, MO 65807
Phone (417) 799-3377

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355875200000",
    "number": "1962445486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1860 N CHURCH RD",
            "address_2": "SUITE 101",
            "city": "LIBERTY",
            "state": "MO",
            "postal_code": "640687179",
            "telephone_number": "816-792-8379",
            "fax_number": "816-792-8387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1860 N CHURCH RD",
            "address_2": "SUITE 101",
            "city": "LIBERTY",
            "state": "MO",
            "postal_code": "640687179",
            "telephone_number": "816-792-8379",
            "fax_number": "816-792-8387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "JASON",
        "middle_name": "CHRISTOPHER",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2012-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2000174353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Liberty, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2012; 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.