Active NPI
Angustia Henry
- Physical Therapist
- Shawnee Mission, KS
National Provider Identifier
1346609294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 02256
- Practice address
- 10000 W 75TH St
Suite 121
Shawnee Mission, KS 66204-2209 - Phone
- (913) 362-7518
- NPI assigned
- Feb 21, 2016
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
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.
-
- Speech-Language Pathologist
- Shawnee Mission, KS
- NPI 1942408950
MO, Physical Therapist
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Deborah a King Ma and Associates Inc
Practice addresses (Care Compare)
5301 Harry S Truman Dr
Grandview, MO 64030-1708
Phone (816) 531-5746
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160316002699 | MO | Practitioner - Physical Therapist in Private Practice | 7113223157 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02256 | MO | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elite Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Deborah a King Ma & Associates Inc | Physical Therapist | Current | Accepting new patients |
Locations
10000 W 75th St
Ste 121
Shawnee Msn, KS 66204
Phone (913) 362-7518
5301 Harry S Truman Dr
Grandview, MO 64030
Phone (816) 433-4618
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 02256 | MO | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
10000 W 75TH St
Suite 121
Shawnee Mission, KS 66204-2209
Mailing address
8302 NW Miami St
Weatherby Lake, MO 64152-1512
Phone (913) 706-0362
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 24, 2019.
{
"created_epoch": "1456012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561334400000",
"number": "1346609294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8302 NW MIAMI ST",
"city": "WEATHERBY LAKE",
"state": "MO",
"postal_code": "641521512",
"telephone_number": "913-706-0362"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10000 W 75TH ST",
"address_2": "SUITE 121",
"city": "SHAWNEE MISSION",
"state": "KS",
"postal_code": "662042209",
"telephone_number": "913-362-7518"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENRY",
"first_name": "ANGUSTIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-02-21",
"last_updated": "2019-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MO",
"license": "02256",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shawnee Mission, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2019; 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.