Individual provider Active NPI

Veronica Vabishchevich, PT, DPT

  • Physical Therapist
  • Shawnee, KS
National Provider Identifier
1265255111
Registry record updated Nov 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11-07754 Issued in KS
Practice address
19701 W 65TH Ter
Shawnee, KS 66218-9308
Phone
(913) 270-0469
NPI assigned
Nov 7, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2024

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 11-07754 KS Primary

Addresses

Primary practice location

19701 W 65TH Ter
Shawnee, KS 66218-9308

Mailing address

4420 Roanoke Pkwy Apt 304
Kansas City, MO 64111-7268
Phone (315) 941-5728

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250219000963 KS Practitioner - Physical Therapist in Private Practice 3971023136 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lifeworks Integrative Health LLCGroup PAC ID 8224286703, 5 clinicians

Practice addresses (Care Compare)

19701 W 65TH Ter
Shawnee, KS 66218-9308
Phone (913) 441-2293

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11-07754KSMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lifeworks Integrative Health LLC CurrentSince Nov 30, 2024 Accepting new patients

Locations

19701 W 65th Ter
Shawnee, KS 66218
Phone (913) 270-0469

Organizations & group practices 1

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": "1730937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730937600000",
    "number": "1265255111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4420 ROANOKE PKWY APT 304",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641117268",
            "telephone_number": "315-941-5728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19701 W 65TH TER",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662189308",
            "telephone_number": "913-270-0469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VABISHCHEVICH",
        "first_name": "VERONICA",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-07",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "11-07754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shawnee, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2024; 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.