Individual provider Active NPI

Cathleen Fanning, DPT

  • Physical Therapist
  • Leawood, KS
National Provider Identifier
1346813458
Registry record updated Jul 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11-06812 Issued in KS
Practice address
9425 Mission Rd
Leawood, KS 66206-2045
Phone
(913) 381-2100
NPI assigned
Jul 19, 2021
Last updated
Jul 5, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2023

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 2021037365 MO
Physical Therapist 225100000X 11-06812 KS Primary

Addresses

Primary practice location

9425 Mission Rd
Leawood, KS 66206-2045

Mailing address

200 W Douglas Ave Ste 250
Wichita, KS 67202-3002
Phone (316) 263-0003

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210827000612 KS Practitioner - Physical Therapist in Private Practice 9830594993 Reassigns benefits to 2 organizations
I20230707001955 MO Practitioner - Physical Therapist in Private Practice 9830594993 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Preferred PT LLCGroup PAC ID 9436447422, shared by 2 NPIs, 48 clinicians

Practice addresses (Care Compare)

101 NW Englewood Rd
110 Preferred PT Gladstone
Gladstone, MO 64118-4040
Phone (816) 413-0900

9425 Mission Rd
Leawood, KS 66206-2045
Phone (913) 381-2100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11-06812KSMDPhysical Therapist
2021037365MOMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Preferred PT, LLC Physical Therapist Current Accepting new patients
Mpact Physical Therapy, LLC Physical Therapist CurrentSince Jul 9, 2023 Accepting new patients
Preferred PT LLC Physical Therapist CurrentSince Jun 26, 2023 Accepting new patients
Preferred PT, LLC Physical Therapist CurrentSince Jul 9, 2023 Accepting new patients
Preferred PT, LLC Physical Therapist CurrentSince Jun 26, 2023 Accepting new patients
Preferred PT LLC Physical Therapist Current Accepting new patients
Minds Matter, LLC CurrentSince Jul 7, 2021 Accepting new patients
Preferred PT, LLC Physical Therapist CurrentSince Jun 26, 2023 Accepting new patients

Locations

7819 Conser Pl
Overland Park, KS 66204
Phone (913) 789-9900

8550 Marshall Dr
Ste 210
Overland Park, KS 66214
Phone (913) 492-0333

200 W Douglas Ave
Ste 250
Wichita, KS 67202
Phone (316) 265-9922

101 NW Englewood Rd
Ste 110
Kansas City, MO 64118
Phone (816) 413-0900

373 W 101st Ter
Ste 220
Kansas City, MO 64114
Phone (816) 489-4161

Organizations & group practices 8

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": "1626652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688515200000",
    "number": "1346813458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W DOUGLAS AVE STE 250",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672023002",
            "telephone_number": "316-263-0003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9425 MISSION RD",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662062045",
            "telephone_number": "913-381-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FANNING",
        "first_name": "CATHLEEN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-19",
        "last_updated": "2023-07-05",
        "certification_date": "2023-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2021037365",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "11-06812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leawood, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 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.

Verify at the official NPI Registry.