Individual provider Active NPI

Clara Phillips Moyer, PT, DPT

  • Physical Therapist
  • Overland Park, KS
National Provider Identifier
1033737788
Registry record updated Jul 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11-06506 Issued in KS
Practice address
5100 Indian Creek Pkwy
Overland Park, KS 66207-4115
Phone
(913) 544-1957
NPI assigned
Jul 9, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 6698 ID
Physical Therapist 225100000X 11-06506 KS Primary

Addresses

Primary practice location

5100 Indian Creek Pkwy
Overland Park, KS 66207-4115

Mailing address

10851 State Line Rd Apt 5
Kansas City, MO 64114-4807
Phone (573) 424-4644

Other identifiers 2

IdentifierTypeStateIssuer
PT-6698OtherIDIDAHO DIVISION OF OCCUPATIONAL AND PROFESSIONAL LICENSES
11-06506OtherKSKANSAS BOARD OF HEALING ARTS

Other names 1

  • Clara Jordan Phillips Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, MO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20201007001332 KS Practitioner - Physical Therapist in Private Practice 0941629166 Reassigns benefits to 2 organizations
I20210329001303 MO Practitioner - Physical Therapist in Private Practice 0941629166 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Empowerme Rehabilitation Missouri LLCGroup PAC ID 9234402470, shared by 4 NPIs, 207 clinicians

Practice addresses (Care Compare)

1800 1St Capitol Dr
Apt 1
Saint Charles, MO 63301-1660
Phone (636) 242-1764

2700 Somerset Dr
Prairie Village, KS 66206-1173
Phone (913) 513-0220

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6698IDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Empowerme Rehabilitation Missouri LLC Physical Therapist CurrentSince Mar 26, 2021 Accepting new patients
Empowerme Wellness Kansas City, LLC Physical Therapist CurrentSince Jul 28, 2021 Accepting new patients
Empowerme Rehabilitation Missouri LLC Physical Therapist CurrentSince Mar 26, 2021 Accepting new patients
Empowerme Wellness Kansas City, LLC CurrentSince Mar 26, 2021 Accepting new patients
Empowerme Wellness Kansas City, LLC CurrentSince Mar 26, 2021 Accepting new patients
Empowerme Rehabilitation Missouri LLC Physical Therapist CurrentSince Mar 26, 2021 Accepting new patients

Locations

2700 Somerset Dr
Prairie Village, KS 66206
Phone (913) 276-0901

16255 Chesterfield Pkwy W
Chesterfield, MO 63017
Phone (636) 812-6942

2150 W Randolph St
Saint Charles, MO 63301
Phone (636) 946-4966

1800 1st Capitol Dr
Saint Charles, MO 63301
Phone (636) 255-8094

1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 673-6723

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1594252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594771200000",
    "number": "1033737788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10851 STATE LINE RD APT 5",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641144807",
            "telephone_number": "573-424-4644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 INDIAN CREEK PKWY",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662074115",
            "telephone_number": "913-544-1957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOYER",
        "first_name": "CLARA",
        "middle_name": "PHILLIPS",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-09",
        "last_updated": "2020-07-15",
        "certification_date": "2020-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "6698",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "11-06506",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IDAHO DIVISION OF OCCUPATIONAL AND PROFESSIONAL LICENSES",
            "identifier": "PT-6698",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KANSAS BOARD OF HEALING ARTS",
            "identifier": "11-06506",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CLARA",
            "last_name": "PHILLIPS",
            "middle_name": "JORDAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Overland Park, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.