Active NPI
Nathan C Veenis, DPT
- Physical Therapist
- Overland Park, KS
National Provider Identifier
1295396497
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11-06219
- Practice address
- 8889 W 75TH St
Overland Park, KS 66204-2206 - Phone
- (913) 322-7828
- Fax
- (913) 319-8904
- NPI assigned
- Jun 27, 2019
- Sex
- Male
- 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 Therapist | 225100000X | 11-06219 | KS | Primary |
Addresses
Primary practice location
8889 W 75TH St
Overland Park, KS 66204-2206
Mailing address
8889 W 75TH St
Overland Park, KS 66204-2206
Phone (913) 322-7828
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS, MO
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2019
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
7450 Kessler St
Suite 140
Merriam, KS 66204-2520
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dickson Diveley Midwest Orthopaedic Clinic LLC | Current | Accepting new patients | |
| Dickson Diveley Midwest Orthopaedic Clinic LLC | Current | Accepting new patients |
Locations
3651 W 111th St
Overland Park, KS 66211
Phone (800) 876-5958
8889 W 75th St
Overland Park, KS 66204
Phone (913) 319-7600
7450 Kessler St
Ste 140
Shawnee Mission, KS 66204
Phone (913) 319-7600
Organizations & group practices 3
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.
-
- Orthopaedic Surgery Physician
- Leawood, KS
- NPI 1669421509
-
- Physical Therapist
- Belton, MO
- NPI 1962414250
-
- Durable Medical Equipment & Medical Supplies
- Lenexa, KS
- NPI 1730946302
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699574400000",
"number": "1295396497",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8889 W 75TH ST",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662042206",
"telephone_number": "913-322-7828",
"fax_number": "913-319-8904"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8889 W 75TH ST",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662042206",
"telephone_number": "913-322-7828",
"fax_number": "913-319-8904"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VEENIS",
"first_name": "NATHAN",
"middle_name": "C",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-06-27",
"last_updated": "2023-11-10",
"certification_date": "2023-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KS",
"license": "11-06219",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Overland Park, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2023; 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.