Sophie Dehaven

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2017026176 Issued in MO

Practice address

4700 Belleview Ave Ste 415
Kansas City, MO 64112-1361

Phone

(816) 569-2802

NPI assigned

Jul 25, 2017

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Foundational Concepts, Inc.

  • Physical Therapy Clinic/Center
  • Kansas City, MO
  • NPI 1598008294

  Physical Therapist

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1500940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1500940800000",
    "number": "1013430628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1142 CORRINGTON CT",
            "city": "TOWN AND COUNTRY",
            "state": "MO",
            "postal_code": "630178415",
            "telephone_number": "314-275-8283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 BELLEVIEW AVE STE 415",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641121361",
            "telephone_number": "816-569-2802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEHAVEN",
        "first_name": "SOPHIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-25",
        "last_updated": "2017-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2017026176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deer Valley Hospice Care, Kansas City, Mo LLC
• Melissa Elaine Deets, BSN, RN, IBCLC
• Sara Deffenbaugh, MD
• Kay Beth Dehart, RN, BSN, IBCLC
• Thomas Joseph Dehart, AUD
• Farangis Azad Dehkharghani, M.D.
• Fereydoun Dehkharghani, MD
• Deborah E Deily, LCSW
• Donna N Deines, DDS
• Kelly B Deines, DDS

• Physical Therapist in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Physical Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.