Individual provider Active NPI

Grace Parker, DPT

  • Physical Therapist
  • Overland Park, KS
National Provider Identifier
1043097678
Registry record updated Sep 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
9506 Nall Ave
Overland Park, KS 66207-2950
Phone
(913) 912-1096
NPI assigned
Sep 8, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

9506 Nall Ave
Overland Park, KS 66207-2950

Mailing address

9506 Nall Ave
Overland Park, KS 66207-2950
Phone (913) 912-1096

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231102000897 KS Practitioner - Physical Therapist in Private Practice 9032565684 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ellis Health Group LLCGroup PAC ID 4284022203, 16 clinicians

Practice addresses (Care Compare)

10034 W 151St St
Overland Park, KS 66221-9326
Phone (816) 809-1085

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ellis Health Group LLC Physical Therapist CurrentSince May 13, 2024 Accepting new patients
Laughlin Performance & Physical Therapy LLC Physical Therapist CurrentSince Sep 10, 2023 Accepting new patients

Locations

9506 Nall Ave
Overland Park, KS 66207
Phone (913) 912-1096

10034 W 151st St
Overland Park, KS 66221
Phone (816) 799-1767

Organizations & group practices 2

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": "1694131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694131200000",
    "number": "1043097678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9506 NALL AVE",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662072950",
            "telephone_number": "913-912-1096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9506 NALL AVE",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662072950",
            "telephone_number": "913-912-1096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "GRACE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-08",
        "last_updated": "2023-09-08",
        "certification_date": "2023-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Sep 8, 2023; 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.