Individual provider Active NPI

Ann Marie Kleikamp, P.T.

  • Physical Therapist
  • Overland Park, KS
National Provider Identifier
1124401898
Registry record updated Jun 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1101694 Issued in KS
Practice address
13800 Metcalf Ave
Overland Park, KS 66223-1200
Phone
(913) 945-2153
Fax
(913) 945-2154
NPI assigned
Jun 30, 2015
Sex
Female
Sole proprietor
Yes

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 1101694 KS Primary
Physical Therapist 225100000X 100165 MO

Addresses

Primary practice location

13800 Metcalf Ave
Overland Park, KS 66223-1200

Mailing address

13800 Metcalf Ave
Overland Park, KS 66223-1200
Phone (913) 945-2153

Other identifiers 1

IdentifierTypeStateIssuer
17E469MedicaidKS

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1101694KSMDPhysical Therapist
100165MOMDPhysical Therapist

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": "1124401898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13800 METCALF AVE",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662231200",
            "telephone_number": "913-945-2153",
            "fax_number": "913-945-2154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13800 METCALF AVE",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662231200",
            "telephone_number": "913-945-2153",
            "fax_number": "913-945-2154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEIKAMP",
        "first_name": "ANN MARIE",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-30",
        "last_updated": "2015-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "1101694",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "100165",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "17E469",
            "state": "KS"
        }
    ],
    "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 Jun 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.