Individual provider Active NPI

Rustin Gaile Hiebert, DPT

  • Physical Therapist
  • Overland Park, KS
National Provider Identifier
1174333223
Registry record updated Apr 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11-07874 Issued in KS
Practice address
11340 Nall Ave Ste 200B
Overland Park, KS 66211-2485
Phone
(913) 354-5020
NPI assigned
Jan 10, 2025
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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 11-07874 KS Primary

Addresses

Primary practice location

11340 Nall Ave Ste 200B
Overland Park, KS 66211-2485

Mailing address

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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250121001585 KS Practitioner - Physical Therapist in Private Practice 6204365216 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
May accept Medicare assignment
Group practices
Fit Muscle and Joint Clinic LLCGroup PAC ID 5991935579, 54 clinicians

Practice addresses (Care Compare)

11340 Nall Ave
Suite 200
Overland Park, KS 66211-1234
Phone (913) 354-5020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Fit Muscle & Joint Clinic LLC Physical Therapist CurrentSince Jan 1, 2025 Accepting new patients
Fit Muscle & Joint Clinic LLC Physical Therapist CurrentSince Jan 1, 2025 Accepting new patients

Locations

2113 E Kansas City Rd
Olathe, KS 66061
Phone (913) 745-4064

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

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

Organizations & group practices 2

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": "1736467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776988800000",
    "number": "1174333223",
    "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",
            "fax_number": "913-745-4352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11340 NALL AVE STE 200B",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662112485",
            "telephone_number": "913-354-5020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIEBERT",
        "first_name": "RUSTIN",
        "middle_name": "GAILE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-01-10",
        "last_updated": "2026-04-24",
        "certification_date": "2026-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "11-07874",
            "primary": true
        }
    ],
    "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.