Active NPI
Kimberly Michel Sumner, MSPT
- Physical Therapist
- Shawnee, KS
National Provider Identifier
1043257447
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11-03395
- Practice address
- 16018 W. 65TH Street
Shawnee, KS 66217 - Phone
- (913) 815-6677
- Fax
- (913) 248-3256
- NPI assigned
- Jun 2, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2000174344 | MO | |
| Physical Therapist | 225100000X | 11-03395 | KS | Primary |
Addresses
Primary practice location
16018 W. 65TH Street
Shawnee, KS 66217
Mailing address
6400 Glenwood
Suite 111
Overland Park, KS 66202
Phone (913) 831-2721
Other names 1
- Kimberly Michel Hamden
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS, MO
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4460 S Noland Rd
Independence, MO 64055-4743
Phone (816) 373-2845
6362 College Blvd
Overland Park, KS 66211-1506
Phone (913) 754-0888
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11-03395 | KS | MD | Physical Therapist |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554681600000",
"number": "1043257447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6400 GLENWOOD",
"address_2": "SUITE 111",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "66202",
"telephone_number": "913-831-2721",
"fax_number": "913-384-0127"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16018 W. 65TH STREET",
"city": "SHAWNEE",
"state": "KS",
"postal_code": "66217",
"telephone_number": "913-815-6677",
"fax_number": "913-248-3256"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUMNER",
"first_name": "KIMBERLY",
"middle_name": "MICHEL",
"credential": "MSPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-02",
"last_updated": "2019-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MO",
"license": "2000174344",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KS",
"license": "11-03395",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KIMBERLY",
"last_name": "HAMDEN",
"middle_name": "MICHEL",
"credential": "MSPT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Shawnee, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2019; 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.