Individual provider Active NPI

Alexander P Kotera, DPT

  • Physical Therapist
  • Kansas City, MO
National Provider Identifier
1386998029
Registry record updated May 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2013005479 Issued in MO
Practice address
8434 Ward Pkwy
Kansas City, MO 64114-2031
Phone
(816) 237-1926
Fax
(816) 237-1983
NPI assigned
Nov 2, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 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 014049 OH
Physical Therapist 225100000X 2013005479 MO Primary

Addresses

Primary practice location

8434 Ward Pkwy
Kansas City, MO 64114-2031

Mailing address

8434 Ward Pkwy
Kansas City, MO 64114-2031
Phone (816) 237-1926

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171010001054 MO Practitioner - Physical Therapist in Private Practice 3870868375 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Nebraska College of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Physical Therapy PCGroup PAC ID 9335190339, 27 clinicians

Practice addresses (Care Compare)

1101 W Clay Rd
Lowr Level
Versailles, MO 65084-1177
Phone (877) 870-4976

3333 W 10TH St
Mid America Physical Therapy
Sedalia, MO 65301-2113
Phone (877) 870-4976

610 Hwy O
Gravois Mills, MO 65037-6221
Phone (877) 870-4976

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2013005479MOMDPhysical Therapist
014049OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Physical Therapy, PC Physical Therapist CurrentSince Jan 1, 2023 Accepting new patients

Locations

3333 W 10th St
Sedalia, MO 65301
Phone (573) 256-2777

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1351814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367971200000",
    "number": "1386998029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8434 WARD PKWY",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641142031",
            "telephone_number": "816-237-1926",
            "fax_number": "816-237-1983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8434 WARD PKWY",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641142031",
            "telephone_number": "816-237-1926",
            "fax_number": "816-237-1983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOTERA",
        "first_name": "ALEXANDER",
        "middle_name": "P",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-11-02",
        "last_updated": "2013-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "014049",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2013005479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 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.