Individual provider Active NPI

Danielle Kathryn Debbrecht, MS, PT

  • Physical Therapist
  • Overland Park, KS
National Provider Identifier
1053469189
Registry record updated Mar 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1102783 Issued in KS
Practice address
10400 W 103Rd St
Suite 22
Overland Park, KS 66214-2640
Phone
(913) 322-4000
Fax
(913) 322-4001
NPI assigned
Jan 8, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2008

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 1102783 KS Primary

Addresses

Primary practice location

10400 W 103Rd St
Suite 22
Overland Park, KS 66214-2640

Mailing address

5132 Nall Ave
Mission, KS 66202-1835
Phone (913) 722-6561

Other identifiers 5

IdentifierTypeStateIssuer
20588299966214A002OtherKSTRIWEST
37653011OtherKSKANSAS CITY BLUE CROSS
706184OtherACN
9476307OtherMULTIPLAN
9476307OtherPHCS NETWORK

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070423000264 KS Practitioner - Physical Therapist in Private Practice 3476658386 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Core Strategies Physical Therapy PAGroup PAC ID 9537264080, 9 clinicians

Practice addresses (Care Compare)

10400 W 103Rd St
Suite 22
Overland Park, KS 66214-2664
Phone (913) 322-4000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Core Strategies Physical Therapy, PA CurrentSince Apr 2, 2007 Accepting new patients
Core Strategies PastSince Apr 2, 2007 Accepting new patients

Locations

10400 W 103rd St
Ste 22
Overland Park, KS 66214
Phone (913) 322-4000

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": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204761600000",
    "number": "1053469189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5132 NALL AVE",
            "city": "MISSION",
            "state": "KS",
            "postal_code": "662021835",
            "telephone_number": "913-722-6561",
            "fax_number": "913-722-6561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10400 W 103RD ST",
            "address_2": "SUITE 22",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662142640",
            "telephone_number": "913-322-4000",
            "fax_number": "913-322-4001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEBBRECHT",
        "first_name": "DANIELLE",
        "middle_name": "KATHRYN",
        "name_prefix": "Ms.",
        "credential": "MS, PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2008-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "1102783",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIWEST",
            "identifier": "20588299966214A002",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KANSAS CITY BLUE CROSS",
            "identifier": "37653011",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACN",
            "identifier": "706184",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MULTIPLAN",
            "identifier": "9476307",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHCS NETWORK",
            "identifier": "9476307",
            "state": null
        }
    ],
    "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 Mar 6, 2008; 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.