Individual provider Active NPI

Robin Foderberg, PT

  • Physical Therapist
  • Overland Park, KS
National Provider Identifier
1306174917
Registry record updated Nov 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11-01535 Issued in KS
Practice address
6801 W 107TH St
Overland Park, KS 66212-1825
Phone
(913) 438-8000
Fax
(913) 438-8008
NPI assigned
Nov 20, 2009
Last updated
Nov 20, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2009

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 11-01535 KS Primary

Addresses

Primary practice location

6801 W 107TH St
Overland Park, KS 66212-1825

Mailing address

6801 W 107TH St
Overland Park, KS 66212-1825
Phone (913) 438-8000

Other names 1

  • Robin Kaman Other name

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

LicenseStateTypeSpecialty
11-01535KSMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Integrative Therapy Concepts, LLC Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1258675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258675200000",
    "number": "1306174917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6801 W 107TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662121825",
            "telephone_number": "913-438-8000",
            "fax_number": "913-438-8008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6801 W 107TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662121825",
            "telephone_number": "913-438-8000",
            "fax_number": "913-438-8008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FODERBERG",
        "first_name": "ROBIN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-20",
        "last_updated": "2009-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "11-01535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROBIN",
            "last_name": "KAMAN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.