JASON HEROLD (D.P.T.) – Physical Therapist, NPI 1043651771

JASON HEROLD (D.P.T.) is a healthcare provider. based in Prairie village, Kansas. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials D.P.T.. They hold a License No. 2013023642 (MO). The NPI Number for JASON HEROLD (D.P.T.) is 1043651771

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
JASON HEROLD (D.P.T.)
NPI
1043651771
Phone
(970) 691-5252
Address
2219 W 79TH ST
Enumeration Date
10 July 2013
Last Update Date
10 July 2013

Doctor Profile

Medical School Name
UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Secondary Phone
4177993377
Graduation Year
2013 (13 years ago)
PAC ID
2365666104
Group Practice PAC ID
6204050453
Professional Enrollment ID
I20140617001213
Address ID
MO658074183SP1711XSTXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness75
Years active:12State licenses:2Digital endpointsOther names

1,533 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MO

Provider Addresses for JASON HEROLD (D.P.T.)

  • 2219 W 79TH ST

    PRAIRIE VILLAGE, KS 662083827

    Phone: (970) 691-5252

    Type: Mailing

  • 4460 S NOLAND RD

    INDEPENDENCE, MO 640554743

    Phone: (816) 373-2845

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-08-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20140617001213IPhysical Therapist In Private PracticeMOTBD
I20180808003371IPhysical Therapist In Private PracticeKSTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes81436$0
97530Therapy procedure using functional activities28225$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes17828$0
97140Therapy procedure using manual technique, each 15 minutes10513$0
97150Therapy procedure in a group setting8623$0
View full utilization report →

Insurance plans in this area (ZIP 66208)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6204050453View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeKS
-MO
Physical Therapist In Private PracticeKS
Physical Therapist In Private PracticeMO
-MO
-KS
Physical Therapist In Private PracticeMO
-KS
Physical Therapist In Private PracticeMO
Occupational Therapist In Private PracticeMS

Reviews

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Frequently asked questions

How is JASON HEROLD (D.P.T.) identified in CMS data?
CMS-hosted NPPES data lists JASON HEROLD (D.P.T.) with NPI 1043651771.
Is JASON HEROLD (D.P.T.) listed as active for patients and plans?
The listing shows JASON HEROLD (D.P.T.) as active in the NPI system.
What is JASON HEROLD (D.P.T.)'s primary classification?
Physical Therapist is the headline specialty for JASON HEROLD (D.P.T.) here. Clinical services aligned with this taxonomy classification.
What address line appears for JASON HEROLD (D.P.T.)?
JASON HEROLD (D.P.T.)'s geographic hint is Prairie Village, Kansas in our summary view.
Is the information about JASON HEROLD (D.P.T.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."