Active NPI
Kenzie Dunaway, PT, DPT
- Physical Therapist
- Overland Park, KS
National Provider Identifier
1407582943
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11-06777
- Practice address
- 15040 Newton Dr
Overland Park, KS 66223-2210 - Phone
- (913) 808-5245
- NPI assigned
- Jul 27, 2022
- Last updated
- Nov 16, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Physical Medicine & Rehabilitation) Physician | 2081S0010X | 11-06777 | KS | |
| Physical Therapist | 225100000X | 11-06777 | KS | Primary |
Addresses
Primary practice location
15040 Newton Dr
Overland Park, KS 66223-2210
Mailing address
2015 W 73Rd St
Prairie Village, KS 66208-3403
Phone (417) 350-8750
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668556800000",
"number": "1407582943",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2015 W 73RD ST",
"city": "PRAIRIE VILLAGE",
"state": "KS",
"postal_code": "662083403",
"telephone_number": "417-350-8750"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15040 NEWTON DR",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662232210",
"telephone_number": "913-808-5245"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNAWAY",
"first_name": "KENZIE",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-27",
"last_updated": "2022-11-16",
"certification_date": "2022-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "2081S0010X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Sports Medicine",
"state": "KS",
"license": "11-06777",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KS",
"license": "11-06777",
"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 Nov 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.