Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jared Visser, DPM

Individual provider Foot & Ankle Surgery Podiatrist · NPI 1174812358

Dr. Jared Visser, DPM is a Podiatry in Creve Coeur, Missouri. Graduated from Kent State University College of Podiatric Medicine in 2008, 18 years ago. Practices with Elite Physical Therapy of Creve Coeur LLC, a 83-clinician group and accepts Medicare assignment. Licensed in Indiana and Missouri.

Years since qualifying
18
Trained at
Kent State University College of Podiatric Medicine
Licensed in
IN, MO
In the registry since
2011
Specialties on file
2
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

11709 Old Ballas Rd Ste 201
Creve Coeur, MO 63141-7029
Phone: (314) 432-1903
Fax: (314) 432-5105
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence 2012026028 (MO)
Foot & Ankle Surgery Podiatrist Taxonomy 213ES0103X · Licence 07001116A (IN)

Record details

NPI number1174812358
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorYes
NPI enumeratedMarch 29, 2011
Last updated in NPPESAugust 2, 2012

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPODIATRY
Medical schoolKENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE
Graduated 2008 (18 years in practice)
Group practice Elite Physical Therapy Of Creve Coeur Llc — 83 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Creve Coeur