Individual provider Active NPI

Taylor Todd Billings, DPT

  • Physical Therapist
  • Prairie Village, KS
National Provider Identifier
1447921135
Registry record updated Sep 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11-06891 Issued in KS
Practice address
7510 State Line Rd Ste a
Prairie Village, KS 66208-3400
Phone
(913) 291-2290
Fax
(913) 291-2449
NPI assigned
Sep 23, 2021
Last updated
Sep 23, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2021

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 11-06891 KS Primary

Addresses

Primary practice location

7510 State Line Rd Ste a
Prairie Village, KS 66208-3400

Mailing address

7510 State Line Rd Ste a
Prairie Village, KS 66208-3400
Phone (913) 291-2290

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL admin@kcchampionperformance.com

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
11-06891KSMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Serc Rebabilitation Partners, LLC Physical Therapist CurrentSince Sep 5, 2023 Accepting new patients
Serc Rehabilitation Partners, LLC Physical Therapist CurrentSince Sep 5, 2023 Accepting new patients
Pam Carney PT LLC Physical Therapist CurrentSince Sep 23, 2021 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

13035 Kansas Ave
Bonner Springs, KS 66012
Phone (913) 721-6362

225 N Moonlight Rd
Gardner, KS 66030
Phone (913) 856-7506

1410 S Main St
Ottawa, KS 66067
Phone (785) 242-2110

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

Organizations & group practices 3

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": "1632355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632355200000",
    "number": "1447921135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7510 STATE LINE RD STE A",
            "city": "PRAIRIE VILLAGE",
            "state": "KS",
            "postal_code": "662083400",
            "telephone_number": "913-291-2290",
            "fax_number": "913-291-2449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7510 STATE LINE RD STE A",
            "city": "PRAIRIE VILLAGE",
            "state": "KS",
            "postal_code": "662083400",
            "telephone_number": "913-291-2290",
            "fax_number": "913-291-2449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BILLINGS",
        "first_name": "TAYLOR",
        "middle_name": "TODD",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-23",
        "last_updated": "2021-09-23",
        "certification_date": "2021-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "11-06891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "admin@kcchampionperformance.com",
            "affiliation": "N",
            "address_1": "7510 State Line Rd Ste A",
            "city": "Prairie Village",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662083400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Prairie Village, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2021; 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.