Individual provider Active NPI

Kerry Smith, MSPT

  • Physical Therapist
  • Leawood, KS
National Provider Identifier
1407322191
Registry record updated Oct 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11-05989 Issued in KS
Practice address
9425 Mission Rd
Leawood, KS 66206-2045
Phone
(913) 381-2100
NPI assigned
Oct 19, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 11-05989 KS Primary

Addresses

Primary practice location

9425 Mission Rd
Leawood, KS 66206-2045

Mailing address

9425 Mission Rd
Leawood, KS 66206-2045

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220523000791 KS Practitioner - Physical Therapist in Private Practice 7416334966 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ellis Health Group LLCGroup PAC ID 4284022203, 16 clinicians
Tidd-Krafft Occupational and Physical Therapy PAGroup PAC ID 1254689169, 32 clinicians

Practice addresses (Care Compare)

10034 W 151St St
Overland Park, KS 66221-9326
Phone (816) 809-1085

4400 W 115TH St
Leawood, KS 66211-2684
Phone (913) 348-6362

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ellis Health Group LLC Physical Therapist CurrentSince Feb 6, 2025 Accepting new patients
Tidd-Krafft Occupational and Physical Therapy PA Physical Therapist CurrentSince May 5, 2022 Accepting new patients
Preferred PT, LLC Physical Therapist PastSince Sep 4, 2022 Accepting new patients
Mpact Physical Therapy, LLC Physical Therapist PastSince Jan 1, 2018 Accepting new patients

Locations

4400 W 115th St
Leawood, KS 66211
Phone (913) 213-3886

10034 W 151st St
Overland Park, KS 66221
Phone (816) 799-1767

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1539907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539907200000",
    "number": "1407322191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9425 MISSION RD",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662062045"
        },
        {
            "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": "SMITH",
        "first_name": "KERRY",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-19",
        "last_updated": "2018-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "11-05989",
            "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 Oct 19, 2018; 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.