Active NPI
Jaeden Waschbusch
- Physical Therapist
- Overland Park, KS
National Provider Identifier
1336092709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- T-06447
- Practice address
- 11340 Nall Ave Ste 200B
Overland Park, KS 66211-2485 - Phone
- (913) 354-5020
- NPI assigned
- Feb 17, 2026
- Sex
- Female
- 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 | T-06447 | KS | Primary |
Addresses
Primary practice location
11340 Nall Ave Ste 200B
Overland Park, KS 66211-2485
Mailing address
22120 Midland Dr Ste 1
Shawnee, KS 66226-3554
Phone (913) 745-4064
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2025
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
22120 Midland Dr
Suite 1
Shawnee, KS 66226-3574
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T-06447 | KS | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1771286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777420800000",
"number": "1336092709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22120 MIDLAND DR STE 1",
"city": "SHAWNEE",
"state": "KS",
"postal_code": "662263554",
"telephone_number": "913-745-4064",
"fax_number": "913-745-4352"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11340 NALL AVE STE 200B",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662112485",
"telephone_number": "913-354-5020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WASCHBUSCH",
"first_name": "JAEDEN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-02-17",
"last_updated": "2026-04-29",
"certification_date": "2026-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KS",
"license": "T-06447",
"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 Apr 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.