Active NPI
Christy J Siebert, DPT
- Physical Therapist
- Prairie Village, KS
National Provider Identifier
1114188141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11-03889
- Practice address
- 7105 Mission Rd
Prairie Village, KS 66208 - Phone
- (913) 962-1611
- NPI assigned
- Jun 23, 2008
- 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 | 2008015435 | MO | |
| Physical Therapist | 225100000X | 11-03889 | KS | Primary |
Addresses
Primary practice location
7105 Mission Rd
Prairie Village, KS 66208
Mailing address
14362 S Blackfeather Dr
Olathe, KS 66062-4647
Phone (785) 554-2428
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 41402046 | Other | BCBS KC | |
| KA2868040 | Other | KS | MEDICARE PTAN |
| MA4370020 | Other | MO | MEDICARE PTAN |
Other names 1
- Christy J Moormann
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2008015435 | MO | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mid America Balance Institute of Cass County Missouri | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Respiratory/Developmental/Rehabilitative Specialist/Technologist
- Belton, MO
- NPI 1902050511
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214179200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1526860800000",
"number": "1114188141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14362 S BLACKFEATHER DR",
"city": "OLATHE",
"state": "KS",
"postal_code": "660624647",
"telephone_number": "785-554-2428"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7105 MISSION RD",
"city": "PRAIRIE VILLAGE",
"state": "KS",
"postal_code": "66208",
"telephone_number": "913-962-1611"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIEBERT",
"first_name": "CHRISTY",
"middle_name": "J",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-23",
"last_updated": "2018-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MO",
"license": "2008015435",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KS",
"license": "11-03889",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS KC",
"identifier": "41402046",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "KA2868040",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "MA4370020",
"state": "MO"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CHRISTY",
"last_name": "MOORMANN",
"middle_name": "J",
"credential": "DPT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Prairie Village, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.