Individual provider Active NPI

Janell Lea Anello

  • Physical Therapist
  • Kansas City, MO
National Provider Identifier
1053950808
Registry record updated Dec 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PHT01708 Issued in MO
Practice address
12100 Wornall Rd
Kansas City, MO 64145-1764
Phone
(816) 941-0525
NPI assigned
Dec 26, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 26, 2019

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 PHT01708 MO Primary

Addresses

Primary practice location

12100 Wornall Rd
Kansas City, MO 64145-1764

Mailing address

4312 S Montclair St
Independence, MO 64055-4837

Other practice location 1

550 NE Napoleon
Blue Springs, MO 64014-5403
Phone (816) 228-8866

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200625003280 MO Practitioner - Physical Therapist in Private Practice 7416379128 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Legacy Healthcare Services IncGroup PAC ID 2163339722, 3,431 clinicians

Practice addresses (Care Compare)

2 Emanuel Cleaver II Blvd
Kansas City, MO 64112-1654
Phone (816) 291-4506

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PHT01708MOMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Healthcare Services Inc. Physical Therapist CurrentSince May 24, 2020 Accepting new patients
Legacy Healthcare Services Inc Physical Therapist CurrentSince May 24, 2020 Accepting new patients

Locations

15950 Manchester Rd
Ellisville, MO 63011
Phone (636) 220-2748

110 Horizon Dr
#310
Raleigh, NC 27615

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": "1577318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577318400000",
    "number": "1053950808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4312 S MONTCLAIR ST",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640554837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12100 WORNALL RD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641451764",
            "telephone_number": "816-941-0525"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "550 NE Napoleon",
            "address_purpose": "LOCATION",
            "city": "Blue Springs",
            "state": "MO",
            "postal_code": "640145403",
            "country_code": "US",
            "telephone_number": "816-228-8866",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANELLO",
        "first_name": "JANELL",
        "middle_name": "LEA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-26",
        "last_updated": "2019-12-26",
        "certification_date": "2019-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "PHT01708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 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.

Verify at the official NPI Registry.