Individual provider Active NPI

Matthew Kent Stensrud, DPT

  • Physical Therapist
  • Overland Park, KS
National Provider Identifier
1174758593
Registry record updated May 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11-03874 Issued in KS
Practice address
8889 W 75TH St
Overland Park, KS 66204-2206
Phone
(913) 322-7828
Fax
(913) 362-0169
NPI assigned
May 29, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2021

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 5909 OR
Physical Therapist 225100000X 11-03874 KS Primary

Addresses

Primary practice location

8889 W 75TH St
Overland Park, KS 66204-2206

Mailing address

7450 Kessler St Ste 140
Merriam, KS 66204-2519
Phone (913) 362-8317

Other identifiers 1

IdentifierTypeStateIssuer
201138400AMedicaidKS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160714000353 KS Practitioner - Physical Therapist in Private Practice 0547314874 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northland Physical Therapy and Rehab Services IncGroup PAC ID 1850370453, 120 clinicians

Practice addresses (Care Compare)

15445 Metcalf Ave
Overland Park, KS 66223-2801
Phone (913) 232-8955

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11-03874KSMDPhysical Therapist
5909ORMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Northland Physical Therapy & Rehab Services, Inc Physical Therapist CurrentSince Feb 1, 2023 Accepting new patients
Pinnacle Physical Therapy PC Past Accepting new patients

Locations

15445 Metcalf Ave
Overland Park, KS 66223
Phone (913) 232-8955

5600 Hedge Lane Ter
Shawnee, KS 66226
Phone (913) 322-4100

2100 Swift Ave
North Kansas City, MO 64116
Phone (816) 474-8877

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": "1243555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621555200000",
    "number": "1174758593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7450 KESSLER ST STE 140",
            "city": "MERRIAM",
            "state": "KS",
            "postal_code": "662042519",
            "telephone_number": "913-362-8317",
            "fax_number": "913-362-0169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8889 W 75TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662042206",
            "telephone_number": "913-322-7828",
            "fax_number": "913-362-0169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STENSRUD",
        "first_name": "MATTHEW",
        "middle_name": "KENT",
        "name_prefix": "Mr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-29",
        "last_updated": "2021-05-21",
        "certification_date": "2021-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "5909",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "11-03874",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201138400A",
            "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 May 21, 2021; 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.