Individual provider Active NPI

Jordan Nicole Salas, DPT

  • Physical Therapist
  • Sedalia, MO
National Provider Identifier
1972289643
Registry record updated Jun 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
20230110671 Issued in MO
Practice address
3222 W 16TH St
Sedalia, MO 65301-2105
Phone
(660) 827-6800
NPI assigned
Jun 26, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2023

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 20230110671 MO Primary

Addresses

Primary practice location

3222 W 16TH St
Sedalia, MO 65301-2105

Mailing address

921 Dakota St Apt C
Leavenworth, KS 66048-1301
Phone (620) 446-0200

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240607003028 KS Practitioner - Physical Therapist in Private Practice 6507308319 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rebound Physical Therapy IncGroup PAC ID 9335137769, 20 clinicians

Practice addresses (Care Compare)

5220 SW 17TH St
Suite 130
Topeka, KS 66604-2514
Phone (785) 271-5533

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
20230110671MOMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Serc Rebabilitation Partners, LLC Physical Therapist CurrentSince May 6, 2024 Accepting new patients
Rebound Physical Therapy Inc. Physical Therapist CurrentSince Sep 3, 2024 Accepting new patients
Serc Rehabilitation Partners, LLC Physical Therapist CurrentSince May 6, 2024 Accepting new patients
Rebound Physical Therapy at Wood Valley Physical Therapist PastSince Sep 3, 2024 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

13035 Kansas Ave
Bonner Springs, KS 66012
Phone (913) 721-6362

650 Congressional Dr
Ste D
Lawrence, KS 66049
Phone (785) 588-4170

2108 W 27th St
Ste K
Lawrence, KS 66047
Phone (785) 856-0160

2117 SW 37th St
Topeka, KS 66611
Phone (785) 266-5850

5220 SW 17th St
Ste 130
Topeka, KS 66604
Phone (785) 271-5533

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": "1687737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687737600000",
    "number": "1972289643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 DAKOTA ST APT C",
            "city": "LEAVENWORTH",
            "state": "KS",
            "postal_code": "660481301",
            "telephone_number": "620-446-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3222 W 16TH ST",
            "city": "SEDALIA",
            "state": "MO",
            "postal_code": "653012105",
            "telephone_number": "660-827-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALAS",
        "first_name": "JORDAN",
        "middle_name": "NICOLE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-26",
        "last_updated": "2023-06-26",
        "certification_date": "2023-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "20230110671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sedalia, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2023; 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.