Individual provider Active NPI

Matthew A Cummings

  • Occupational Therapist
  • Overland Park, KS
National Provider Identifier
1104144013
Registry record updated Apr 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
17-02667 Issued in KS
Practice address
11340 Nall Ave # 200
Overland Park, KS 66211-1234
Phone
(913) 354-5020
NPI assigned
May 17, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 17-02667 KS Primary
Occupational Therapist 225X00000X 2009024879 MO

Addresses

Primary practice location

11340 Nall Ave # 200
Overland Park, KS 66211-1234

Mailing address

22120 Midland Dr Ste 1
Shawnee, KS 66226-3554
Phone (913) 745-4064

Other practice location 1

22120 Midland Dr Ste 1
Shawnee, KS 66226-3554
Phone (913) 745-4064

Other practice location 2

9250 State Ave
Kansas City, KS 66112-1548
Phone (816) 763-1419

Other practice location 3

121 N Dean Ave Ste 102
Raymore, MO 64083-8398
Phone (816) 441-5656

Other practice location 4

401 NW Murray Rd
Lees Summit, MO 64081-1425
Phone (816) 944-4244

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20121126000215 MO Practitioner - Occupational Therapist in Private Practice 2062663040 Reassigns benefits to 1 organization
I20160929000359 KS Practitioner - Occupational Therapist in Private Practice 2062663040 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2009
Medicare assignment
May accept Medicare assignment
Group practices
Fit Muscle and Joint Clinic LLCGroup PAC ID 5991935579, shared by 2 NPIs, 54 clinicians

Practice addresses (Care Compare)

121 N Dean Ave
Suite 102
Raymore, MO 64083-8398
Phone (816) 441-5656

22120 Midland Dr
Suite 1
Shawnee, KS 66226-3554
Phone (913) 745-4064

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Fit Muscle & Joint Clinic LLC CurrentSince Aug 29, 2022 Accepting new patients
Fit Muscle & Joint Clinic LLC CurrentSince Aug 29, 2022 Accepting new patients
Select Physical Therapy Holdings Inc Past Accepting new patients

Locations

9250 State Ave
Kansas City, KS 66112
Phone (816) 763-1419

11340 Nall Ave
Ste 200
Overland Park, KS 66211
Phone (913) 354-5020

11340 Nall Ave
Ste 200B
Overland Park, KS 66211
Phone (913) 354-5020

11340 Nall Ave
#200
Overland Park, KS 66211
Phone (913) 354-5020

401 NW Murray Rd
Lees Summit, MO 64081
Phone (816) 944-4244

121 N Dean Ave
Ste 102
Raymore, MO 64083
Phone (816) 441-5656

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": "1274054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776988800000",
    "number": "1104144013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22120 MIDLAND DR STE 1",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662263554",
            "telephone_number": "913-745-4064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11340 NALL AVE # 200",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662111234",
            "telephone_number": "913-354-5020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22120 Midland Dr Ste 1",
            "address_purpose": "LOCATION",
            "city": "Shawnee",
            "state": "KS",
            "postal_code": "662263554",
            "country_code": "US",
            "telephone_number": "913-745-4064",
            "fax_number": "913-745-4352",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9250 State Ave",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "KS",
            "postal_code": "661121548",
            "country_code": "US",
            "telephone_number": "816-763-1419",
            "fax_number": "913-745-4352",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "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",
            "fax_number": "913-745-4352",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "401 NW Murray Rd",
            "address_purpose": "LOCATION",
            "city": "Lees Summit",
            "state": "MO",
            "postal_code": "640811425",
            "country_code": "US",
            "telephone_number": "816-944-4244",
            "fax_number": "913-745-4352",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CUMMINGS",
        "first_name": "MATTHEW",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-17",
        "last_updated": "2026-04-24",
        "certification_date": "2026-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "KS",
            "license": "17-02667",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MO",
            "license": "2009024879",
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Apr 24, 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.

Verify at the official NPI Registry.