Active NPI
Mikaela Kristen Roe
- Physical Therapy Assistant
- Kansas City, MO
National Provider Identifier
1184955650
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 2009034198
- Practice address
- 9151 NE 81St Ter
Kansas City, MO 64158-1294 - Phone
- (816) 415-4971
- Fax
- (816) 415-8270
- NPI assigned
- Jan 23, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 2009034198 | MO | Primary |
Addresses
Primary practice location
9151 NE 81St Ter
Kansas City, MO 64158-1294
Mailing address
9151 NE 81St Ter
Kansas City, MO 64158-1294
Phone (816) 415-4971
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2009034198 | MO | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1264204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1264204800000",
"number": "1184955650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9151 NE 81ST TER",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641581294",
"telephone_number": "816-415-4971",
"fax_number": "816-415-8270"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9151 NE 81ST TER",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641581294",
"telephone_number": "816-415-4971",
"fax_number": "816-415-8270"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROE",
"first_name": "MIKAELA",
"middle_name": "KRISTEN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-01-23",
"last_updated": "2010-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "MO",
"license": "2009034198",
"primary": true
}
],
"identifiers": [],
"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 Jan 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.