Individual provider Active NPI

Kendra Hollman Gage, DPT

  • Physical Therapist
  • Overland Park, KS
National Provider Identifier
1093908238
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
8825 W 75TH St
Overland Park, KS 66204-2206
Phone
(913) 648-6755
Fax
(913) 648-6770
NPI assigned
Aug 21, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 Primary

Addresses

Primary practice location

8825 W 75TH St
Overland Park, KS 66204-2206

Mailing address

8825 W 75TH St
Overland Park, KS 66204-2206
Phone (913) 648-6755

Other practice location 1

1644 N Milwaukee Ave
Chicago, IL 60647-5412
Phone (773) 252-2300

Other names 1

  • Kendra Hollman Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141007001174 KS Practitioner - Physical Therapist in Private Practice 5395998827 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northland Physical Therapy and Rehab Services IncGroup PAC ID 1850370453, 120 clinicians

Practice addresses (Care Compare)

5600 Hedge Lane Ter
Shawnee, KS 66226-2255
Phone (816) 474-8877

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Northland Physical Therapy & Rehab Services, Inc Physical Therapist CurrentSince Jan 1, 2026 Accepting new patients
Dickson Diveley Midwest Orthopaedic Clinic LLC CurrentSince Dec 1, 2025 Accepting new patients
Dickson Diveley Midwest Orthopaedic Clinic LLC CurrentSince Dec 1, 2025 Accepting new patients

Locations

15445 Metcalf Ave
Overland Park, KS 66223
Phone (913) 232-8955

3651 W 111th St
Overland Park, KS 66211
Phone (800) 876-5958

5600 Hedge Lane Ter
Shawnee, KS 66226
Phone (913) 322-4100

2100 Swift Ave
North Kansas City, MO 64116
Phone (816) 474-8877

Organizations & group practices 3

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": "1187654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1093908238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8825 W 75TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662042206",
            "telephone_number": "913-648-6755",
            "fax_number": "913-648-6770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8825 W 75TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662042206",
            "telephone_number": "913-648-6755",
            "fax_number": "913-648-6770"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1644 N Milwaukee Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606475412",
            "country_code": "US",
            "telephone_number": "773-252-2300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLLMAN GAGE",
        "first_name": "KENDRA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-21",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KENDRA",
            "last_name": "HOLLMAN",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Jul 21, 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.

Verify at the official NPI Registry.