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

Mary Jo Hegstrom, PT, BSPT

Individual provider Physical Therapist · NPI 1083614556

Mary Jo Hegstrom, PT, BSPT is a Physical Therapist in Mission, Kansas. Licensed in Kansas. Registered with an NPI since 2005.

Licensed in
KS
In the registry since
2005
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

6640 Johnson Dr
Mission, KS 66202-2617
Phone: (913) 384-5810
Fax: (913) 384-0719
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 11-00540 (KS)

Record details

NPI number1083614556
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT , BSPT
Sole proprietorNo
NPI enumeratedJuly 27, 2005
Last updated in NPPESNovember 4, 2021
Certification dateNovember 4, 2021

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