Active NPI
Kinsley Durossette
- Physical Therapy Assistant
- Pittsburg, KS
National Provider Identifier
1013704386
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 14-04157
- Practice address
- 1014 Mt Carmel PL
Pittsburg, KS 66762 - Phone
- (620) 235-1500
- NPI assigned
- Apr 21, 2025
- Sex
- Unspecified or another gender identity
- Sole proprietor
- Yes
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 Therapy Assistant | 225200000X | 14-04157 | KS | Primary |
Addresses
Primary practice location
1014 Mt Carmel PL
Pittsburg, KS 66762
Mailing address
865 145TH St
Fort Scott, KS 66701-8505
Phone (417) 317-7265
Other names 1
- Kinsley Stewart
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14-04157 | KS | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1745193600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745193600000",
"number": "1013704386",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "865 145TH ST",
"city": "FORT SCOTT",
"state": "KS",
"postal_code": "667018505",
"telephone_number": "417-317-7265"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1014 MT CARMEL PL",
"city": "PITTSBURG",
"state": "KS",
"postal_code": "66762",
"telephone_number": "620-235-1500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUROSSETTE",
"first_name": "KINSLEY",
"sole_proprietor": "YES",
"sex": "X",
"enumeration_date": "2025-04-21",
"last_updated": "2025-04-21",
"certification_date": "2025-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "KS",
"license": "14-04157",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KINSLEY",
"last_name": "STEWART",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Pittsburg, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.