Individual provider Active NPI

Kelly Hennes, PT

  • Orthopedic Physical Therapist
  • Topeka, KS
National Provider Identifier
1245235308
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
Practice address
5220 SW 17TH
Suite 130
Topeka, KS 66604-2459
Phone
(785) 271-5533
Fax
(785) 271-8818
NPI assigned
Jun 16, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 11-03250 KS
Orthopedic Physical Therapist 2251X0800X Primary

Addresses

Primary practice location

5220 SW 17TH
Suite 130
Topeka, KS 66604-2459

Mailing address

7721 SW 10TH Ave
Topeka, KS 66615-1215
Phone (785) 271-5533

Other identifiers 1

IdentifierTypeStateIssuer
140418OtherBLUE CROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, MO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050210000327 KS Practitioner - Physical Therapist in Private Practice 8729039417 Reassigns benefits to 2 organizations
I20250430001299 MO Practitioner - Physical Therapist in Private Practice 8729039417 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Full Range Mobile PT LLCGroup PAC ID 6406231448, 4 clinicians

Practice addresses (Care Compare)

Lake Winnebago, MO 64034
Phone (816) 600-0309

12452 S Gallery St
Olathe, KS 66062-6096
Phone (816) 600-0309

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11-03250KSMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Full Range Mobile PT, LLC Physical Therapist CurrentSince Apr 1, 2025 Accepting new patients
Trumove Physical Therapy Physical Therapist CurrentSince Apr 21, 2021 Accepting new patients
Rebound Physical Therapy at Wood Valley Physical Therapist Past Accepting new patients
Rebound Physical Therapy Inc. Physical Therapist PastSince Apr 1, 2005 Accepting new patients

Locations

7279 W 105th St
Overland Park, KS 66212
Phone (913) 642-7746

Organizations & group practices 4

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": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1245235308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7721 SW 10TH AVE",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666151215",
            "telephone_number": "785-271-5533",
            "fax_number": "785-271-8818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5220 SW 17TH",
            "address_2": "SUITE 130",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666042459",
            "telephone_number": "785-271-5533",
            "fax_number": "785-271-8818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENNES",
        "first_name": "KELLY",
        "name_prefix": "Miss",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-16",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "11-03250",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "140418",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Topeka, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.