Individual provider Active NPI

Abby Seider, DPT

  • Physical Therapist
  • Lees Summit, MO
National Provider Identifier
1124401880
Registry record updated Jun 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2015021392 Issued in MO
Practice address
800 NW Main St
Lees Summit, MO 64086-9311
Phone
(816) 524-7040
Fax
(816) 524-7057
NPI assigned
Jun 30, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2015021392 MO Primary
Physical Therapist 225100000X 11-05054 KS

Addresses

Primary practice location

800 NW Main St
Lees Summit, MO 64086-9311

Mailing address

800 NW Main St
Lees Summit, MO 64086-9311
Phone (816) 524-7040

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150817001096 MO Practitioner - Physical Therapist in Private Practice 4880909126 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Summit Strength Physical Therapy LLCGroup PAC ID 8224086772, 14 clinicians

Practice addresses (Care Compare)

800 NW Main St
Suite 100
Lees Summit, MO 64086-9301
Phone (816) 524-7040

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11-05054KSMDPhysical Therapist
2015021392MOMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Strength Physical Therapy, LLC Physical Therapist CurrentSince Jul 27, 2015 Accepting new patients

Locations

800 NW Main St
Lees Summit, MO 64086
Phone (816) 524-7040

800 NW Main St
Ste 100
Lees Summit, MO 64086
Phone (816) 524-7040

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1435622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435622400000",
    "number": "1124401880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 NW MAIN ST",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640869311",
            "telephone_number": "816-524-7040",
            "fax_number": "816-524-7057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 NW MAIN ST",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640869311",
            "telephone_number": "816-524-7040",
            "fax_number": "816-524-7057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEIDER",
        "first_name": "ABBY",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-30",
        "last_updated": "2015-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2015021392",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "11-05054",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lees Summit, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2015; 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.