Individual provider Active NPI

Pamela Anne Carney, PT

  • Physical Therapist
  • Shawnee, KS
National Provider Identifier
1437166287
Registry record updated Jan 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1102764 Issued in KS
Practice address
18315 Midland Dr
Shawnee, KS 66218-9024
Phone
(913) 631-5749
Fax
(913) 962-0355
NPI assigned
Aug 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2000162373 MO
Physical Therapist 225100000X PTL0003753 CO
Physical Therapist 225100000X 1102764 KS Primary

Addresses

Primary practice location

18315 Midland Dr
Shawnee, KS 66218-9024

Mailing address

18315 Midland Dr
Shawnee, KS 66218-9024
Phone (913) 631-5749

Other identifiers 2

IdentifierTypeStateIssuer
26240024OtherKSBCBS
1324290OtherKSCIGNA

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

State licenses

LicenseStateTypeSpecialty
PTL0003753COMDPhysical Therapist
1102764KSMDPhysical Therapist
2000162373MOMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Paul Thomas Physical Therapy,LLC Physical Therapist CurrentSince Oct 12, 2015 Accepting new patients

Locations

8541 E Anderson Dr
Ste 100
Scottsdale, AZ 85255

7510 State Line Rd
Ste A
Prairie Vlg, KS 66208
Phone (913) 291-2290

4320 Wornall Rd
Ste 710
Kansas City, MO 64111
Phone (816) 531-5570

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": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738022400000",
    "number": "1437166287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18315 MIDLAND DR",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662189024",
            "telephone_number": "913-631-5749",
            "fax_number": "913-962-0355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18315 MIDLAND DR",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662189024",
            "telephone_number": "913-631-5749",
            "fax_number": "913-962-0355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARNEY",
        "first_name": "PAMELA",
        "middle_name": "ANNE",
        "name_prefix": "Miss",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-02",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2000162373",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL0003753",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "1102764",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "26240024",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1324290",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shawnee, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.