KC Rehab Doctors LLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

2006007778 Issued in MO

Legal business name

KC REHAB DOCTORS LLC

Practice address

2555 Norterre Cir
Liberty, MO 64068-3412

Phone

(816) 479-4793

Fax

(913) 825-6358

NPI assigned

Apr 4, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Linda R Ladesich, M.D.

Title

President

Phone

(913) 207-2189

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Linda R. Barbour, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Liberty, MO
  • NPI 1487607420
  Medicare reassignment NPD
• Meihsien Wang, APRN

  • Adult Health Nurse Practitioner
  • Gardner, KS
  • NPI 1720319023
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1333497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695945600000",
    "number": "1255697108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13103 W 54TH TER",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662164716",
            "telephone_number": "913-515-8826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2555 NORTERRE CIR",
            "city": "LIBERTY",
            "state": "MO",
            "postal_code": "640683412",
            "telephone_number": "816-479-4793",
            "fax_number": "913-825-6358"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "241 NW North Shore Dr",
            "address_purpose": "LOCATION",
            "city": "Lake Waukomis",
            "state": "MO",
            "postal_code": "641511457",
            "country_code": "US",
            "telephone_number": "913-207-2189",
            "fax_number": "913-825-6358",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KC REHAB DOCTORS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-04",
        "last_updated": "2023-09-29",
        "certification_date": "2023-09-29",
        "status": "A",
        "authorized_official_last_name": "LADESICH",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "913-207-2189",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MO",
            "license": "2006007778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kansas City Braces and Kids
• Kansas City Counseling Experts LLC
• Ann Karrenbrock, RPH
• Laura K. Kauffman, M.S., CCC-SLP
• Olivia Kaufman
• Krista Keeler
• Darbi Keene, LCSW
• Christine A Keesling, MD
• Fadhili Kegode
• Keith D Johnson DDS PC

• Physical Medicine & Rehabilitation Physician in Liberty, MO
• Providers in Liberty, MO by specialty
• Physical Medicine & Rehabilitation Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.