Active NPI
Katelyn Marie Spicer, DPT, PT
- Physical Therapist
- Belton, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2026005704
- 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, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2025
- Medicare assignment
- May accept Medicare assignment
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2026005704 | MO | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fit Muscle & Joint Clinic LLC | Physical Therapist | Current | 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.
-
- Rehabilitation Chiropractor
- Lee's Summit, MO
- NPI 1801350921
Physical Therapist
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
- Smiles Unlimited, LLC
- Brian James Smith, RN
- Catherine Smith, A.T.C
- Deanna Jean Smith, OTR, CHT
- Rose Duncan Smith, PHARMD
- Kelly N Spiller, AU.D.
- Michelle Stacy, COTA/L
- State Line Eye Care Center, PC (Cass County Eye Care Center)
- State Line Eye Care Center, PC (Cass County Eye Care Center Optical)
- Corbin Curtis Stephens, MD
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.