Kylie Gonzalez
Individual provider Active NPI Physical Therapist · Kansas City, MO
NPI 1124972187 · NPPES record last updated Feb 25, 2026
Key facts
- NPI
- 1124972187
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- Practice address
- 601 E 63Rd St Ste 603
Kansas City, MO 64110-3303 - Phone
- (816) 569-2802
- NPI assigned
- Feb 25, 2026
- Sex
- Unspecified or another gender identity
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2025
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Foundational Concepts Inc
Practice addresses (Care Compare)
400 SW Longview Blvd
Suite 210
Lees Summit, MO 64081-2117
Phone (816) 705-2998
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260504005338 | MO | Practitioner - Physical Therapist in Private Practice | 4486122983 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Foundational Concepts, Inc. | Physical Therapist | Current |
Accepting new patients |
Locations
601 E 63rd St
Ste 230
Kansas City, MO 64110
Phone (816) 312-5451
400 SW Longview Blvd
Ste 210
Lees Summit, MO 64081
Phone (816) 705-2998
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Yes |
Addresses
Primary practice location
601 E 63Rd St Ste 603
Kansas City, MO 64110-3303
Mailing address
10504 Oakland Ave
Kansas City, MO 64134-1944
Other providers in Kansas City, MO
- Ana Cecilia Gonzalez
- Celia Gonzalez
- Eduardo Enrique Gonzalez
- Evelyn E Gonzalez
- Georgiana Sue Gonzalez
- Jordan Elizabeth Gooch
- Good Living Caregivers Agency, LLC
- Good Morning Health Corp
- Good Morning Homes Corp
- Thomas H Good
All providers in Kansas City, MO · Physical Therapist in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 25, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.