Active NPI
Emily Anne Fasbender, PT, DPT
- Physical Therapist
- Lee's Summit, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2022031608
- Practice address
- 3747 SW Raintree Dr
Lees Summit, MO 64082-4606 - Phone
- (816) 537-5648
- Fax
- (816) 537-5649
- NPI assigned
- Mar 1, 2022
- Last updated
- Aug 10, 2022
- 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 | 11-06979 | KS | |
| Physical Therapist | 225100000X | 2022031608 | MO | Primary |
Addresses
Primary practice location
3747 SW Raintree Dr
Lees Summit, MO 64082-4606
Mailing address
1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (423) 238-7217
Other practice location 1
6640 Johnson Dr
Mission, KS 66202-2617
Phone (913) 384-5810
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, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6640 Johnson Dr
Serc Mission
Mission, KS 66202-2617
Phone (913) 384-5810
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Serc Rebabilitation Partners, LLC | Physical Therapist | Current | Accepting new patients |
| Serc Rehabilitation Partners, LLC | Physical Therapist | Current | Accepting new patients |
Locations
1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568
13035 Kansas Ave
Bonner Springs, KS 66012
Phone (913) 721-6362
6640 Johnson Dr
Mission, KS 66202
Phone (913) 384-5600
1225 SW State Route 7
Blue Springs, MO 64014
Phone (816) 295-2051
109 W Franklin St
Clinton, MO 64735
Phone (660) 383-1280
3747 SW Raintree Dr
Lees Summit, MO 64082
Phone (816) 537-5648
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Overland Park, KS
- NPI 1598190209
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660089600000",
"number": "1083360986",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 CORPORATE DR STE 400",
"city": "HOOVER",
"state": "AL",
"postal_code": "352425424",
"telephone_number": "423-238-7217"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3747 SW RAINTREE DR",
"city": "LEES SUMMIT",
"state": "MO",
"postal_code": "640824606",
"telephone_number": "816-537-5648",
"fax_number": "816-537-5649"
}
],
"practiceLocations": [
{
"address_1": "6640 Johnson Dr",
"address_purpose": "LOCATION",
"city": "Mission",
"state": "KS",
"postal_code": "662022617",
"country_code": "US",
"telephone_number": "913-384-5810",
"fax_number": "913-384-0719",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FASBENDER",
"first_name": "EMILY",
"middle_name": "ANNE",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-01",
"last_updated": "2022-08-10",
"certification_date": "2022-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KS",
"license": "11-06979",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MO",
"license": "2022031608",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lee's Summit, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2022; 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.