Individual provider Active NPI

Cheri G Eisen, PT

  • Physical Therapist
  • Kansas City, MO
National Provider Identifier
1184712903
Registry record updated Feb 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2002019580 Issued in MO
Practice address
9501 N Oak Trafficway
Suite #201
Kansas City, MO 64155
Phone
(816) 468-5278
Fax
(816) 285-5278
NPI assigned
Oct 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2009

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 2002019580 MO Primary

Addresses

Primary practice location

9501 N Oak Trafficway
Suite #201
Kansas City, MO 64155

Mailing address

9501 N Oak Trafficway
Suite #201
Kansas City, MO 64155
Phone (816) 468-5278

Other identifiers 1

IdentifierTypeStateIssuer
2002019580OtherMOLICENSE #

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
2002019580MOMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Exercise Therapy Consultants, Inc. Physical Therapist PastSince Jun 27, 2016 Accepting new patients
Modern Physical Therapy PC Physical Therapist PastSince Sep 1, 2004 Accepting new patients

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": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235001600000",
    "number": "1184712903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9501 N OAK TRAFFICWAY",
            "address_2": "SUITE #201",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "64155",
            "telephone_number": "816-468-5278",
            "fax_number": "816-285-5278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9501 N OAK TRAFFICWAY",
            "address_2": "SUITE #201",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "64155",
            "telephone_number": "816-468-5278",
            "fax_number": "816-285-5278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EISEN",
        "first_name": "CHERI",
        "middle_name": "G",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-10",
        "last_updated": "2009-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2002019580",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE #",
            "identifier": "2002019580",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2009; 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.