Individual provider Active NPI

Kenneth Ray Pringle, DPT, ATC

  • Physical Therapist
  • Kansas City, KS
National Provider Identifier
1306900048
Registry record updated Jun 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11-04616 Issued in KS
Practice address
3901 Rainbow Boulevard
Mail Stop 3017
Kansas City, KS 66160
Phone
(913) 945-6428
Fax
(913) 945-6802
NPI assigned
Dec 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2013

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 11-04616 KS Primary
Athletic Trainer 2255A2300X 2400532 KS

Addresses

Primary practice location

3901 Rainbow Boulevard
Mail Stop 3017
Kansas City, KS 66160

Mailing address

6327 Brownridge Dr
Shawnee, KS 66218-8989
Phone (913) 441-1154

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20131017001573 KS Practitioner - Physical Therapist in Private Practice 4082848411 Reassigns benefits to 1 organization
I20180222002480 MO Practitioner - Physical Therapist in Private Practice 4082848411 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Kansas School of Med (KC/Wich/Sal), 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kansas University Physicians IncGroup PAC ID 8921911587, 1,809 clinicians

Practice addresses (Care Compare)

11300 Corporate Ave
Suite 342
Lenexa, KS 66219-1368

20375 W 151St St
Olathe, KS 66160-0001
Phone (913) 588-1227

3901 Rainbow Blvd
Kansas City, KS 66160-0001
Phone (913) 588-7775

4000 Cambridge St
Kansas City, KS 66160-0001
Phone (913) 588-1227

4000 Cambridge St
Suite G600
Kansas City, KS 66160-8501
Phone (913) 588-1227

8302 W 125TH St
Orthopedics
Overland Park, KS 66213-1400
Phone (913) 588-1227

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11-04616KSMDPhysical Therapist
2400532KSMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Kansas University Physicians Inc CurrentSince Jul 11, 2013 Accepting new patients
Kansas University Physicians Inc CurrentSince Jul 11, 2013 Accepting new patients
Kansas University Physicians Inc Current Accepting new patients
Kansas University Physicians Inc Current Accepting new patients

Locations

3901 Rainbow Blvd
Kansas City, KS 66160
Phone (913) 588-6005

3901 Rainbow Blvd
Stop 3017
Kansas City, KS 66160
Phone (913) 588-6100

4000 Cambridge St
Kansas City, KS 66160
Phone (913) 588-3974

7405 Renner Rd
Shawnee Msn, KS 66217
Phone (913) 588-2200

2790 Clay Edwards Dr
Ste 405
North Kansas City, MO 64116
Phone (913) 588-3117

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, 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": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370995200000",
    "number": "1306900048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6327 BROWNRIDGE DR",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662188989",
            "telephone_number": "913-441-1154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 RAINBOW BOULEVARD",
            "address_2": "MAIL STOP 3017",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "66160",
            "telephone_number": "913-945-6428",
            "fax_number": "913-945-6802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRINGLE",
        "first_name": "KENNETH",
        "middle_name": "RAY",
        "name_prefix": "Mr.",
        "credential": "DPT, ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-20",
        "last_updated": "2013-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "11-04616",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "KS",
            "license": "2400532",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2013; 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.