Active NPI
Jordan Nicole Salas, DPT
- Physical Therapist
- Sedalia, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 20230110671
- 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
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 |
|---|---|---|---|---|
| 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
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 20230110671 | MO | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Serc Rebabilitation Partners, LLC | Physical Therapist | Current | Accepting new patients |
| Rebound Physical Therapy Inc. | Physical Therapist | Current | Accepting new patients |
| Serc Rehabilitation Partners, LLC | Physical Therapist | Current | Accepting new patients |
| Rebound Physical Therapy at Wood Valley | Physical Therapist | Past | 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.
-
- Physical Therapist
- Topeka, KS
- NPI 1003810466
-
- Physical Therapist
- Overland Park, KS
- NPI 1598190209
-
- Physical Therapist
- Topeka, KS
- NPI 1891711974
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.