Individual provider Active NPI

Katelyn Marie Spicer, DPT, PT

  • Physical Therapist
  • Belton, MO
National Provider Identifier
1053264937
Registry record updated Oct 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2026005704 Issued in MO
Practice address
1825 E North Ave
Belton, MO 64012-2128
Phone
(816) 775-4747
Fax
(833) 964-0159
NPI assigned
Feb 19, 2026
Last updated
Oct 7, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2026

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 2026005704 MO Primary

Addresses

Primary practice location

1825 E North Ave
Belton, MO 64012-2128

Mailing address

PO Box 650020
Dallas, TX 75265-0020
Phone (816) 775-4747

Other practice location 1

121 N Dean Ave Ste 102
Raymore, MO 64083-8398
Phone (816) 441-5656

Other names 1

  • Katelyn Marie Juskiv Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260317003363 MO Practitioner - Physical Therapist in Private Practice 7810471935 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
May accept Medicare assignment
Group practices
Fit Muscle and Joint Clinic LLCGroup PAC ID 5991935579, 54 clinicians

Practice addresses (Care Compare)

121 N Dean Ave
Suite 102
Raymore, MO 64083-8398
Phone (816) 441-5656

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2026005704MOMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fit Muscle & Joint Clinic LLC Physical Therapist CurrentSince Mar 1, 2026 Accepting new patients

Locations

121 N Dean Ave
Ste 102
Raymore, MO 64083
Phone (816) 441-5656

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": "1771459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791331200000",
    "number": "1053264937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 650020",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752650020",
            "telephone_number": "816-775-4747",
            "fax_number": "833-964-0159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 E NORTH AVE",
            "city": "BELTON",
            "state": "MO",
            "postal_code": "640122128",
            "telephone_number": "816-775-4747",
            "fax_number": "833-964-0159"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "121 N Dean Ave Ste 102",
            "address_purpose": "LOCATION",
            "city": "Raymore",
            "state": "MO",
            "postal_code": "640838398",
            "country_code": "US",
            "telephone_number": "816-441-5656",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPICER",
        "first_name": "KATELYN",
        "middle_name": "MARIE",
        "credential": "DPT, PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-02-19",
        "last_updated": "2026-10-07",
        "certification_date": "2026-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2026005704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATELYN",
            "last_name": "JUSKIV",
            "middle_name": "MARIE",
            "credential": "DPT, PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Belton, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2026; 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.