Individual provider Active NPI

Nathan Douglas Kalberer, DPT

  • Physical Therapist
  • Overland Park, KS
National Provider Identifier
1457880478
Registry record updated Jan 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11-05745 Issued in KS
Practice address
8877 W 75TH St
Overland Park, KS 66204-2206
Phone
(913) 322-7828
Fax
(913) 362-0169
NPI assigned
Jun 5, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2020

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 11-05745 KS Primary
Physical Therapist 225100000X T04718 KS

Addresses

Primary practice location

8877 W 75TH St
Overland Park, KS 66204-2206

Mailing address

7450 Kessler St Ste 140
Merriam, KS 66204-2519
Phone (913) 362-8317

Other identifiers 1

IdentifierTypeStateIssuer
201162680AMedicaidKS

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": "1496620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579737600000",
    "number": "1457880478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7450 KESSLER ST STE 140",
            "city": "MERRIAM",
            "state": "KS",
            "postal_code": "662042519",
            "telephone_number": "913-362-8317",
            "fax_number": "913-362-0169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8877 W 75TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662042206",
            "telephone_number": "913-322-7828",
            "fax_number": "913-362-0169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALBERER",
        "first_name": "NATHAN",
        "middle_name": "DOUGLAS",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-05",
        "last_updated": "2020-01-23",
        "certification_date": "2020-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "11-05745",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "T04718",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201162680A",
            "state": "KS"
        }
    ],
    "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 Jan 23, 2020; 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.