Individual provider Active NPI

Sydney Shatzer, DPT

  • Physical Therapist
  • Belton, MO
National Provider Identifier
1467159954
Registry record updated Feb 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2023004483 Issued in MO
Practice address
8444 Clint Dr
Belton, MO 64012-5329
Phone
(816) 831-3670
NPI assigned
Feb 14, 2023
Last updated
Feb 14, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 14, 2023

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 2023004483 MO Primary

Addresses

Primary practice location

8444 Clint Dr
Belton, MO 64012-5329

Mailing address

511 NE Viewpark Dr
Lees Summit, MO 64086-7105

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230221001671 MO Practitioner - Physical Therapist in Private Practice 9335511393 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northland Physical Therapy and Rehab Services IncGroup PAC ID 1850370453, 120 clinicians

Practice addresses (Care Compare)

9151 NE 81St Ter
Kansas City, MO 64158-1294
Phone (816) 415-4971

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
KC Chiro, LLC CurrentSince Feb 19, 2023 Accepting new patients

Locations

8444 Clint Dr
Belton, MO 64012
Phone (816) 831-3670

7601 NW Roanridge Rd
Kansas City, MO 64151
Phone (816) 474-8877

100 NE Tudor Rd
Ste 110
Lees Summit, MO 64086
Phone (816) 323-8396

Organizations & group practices 2

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": "1676332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676332800000",
    "number": "1467159954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 NE VIEWPARK DR",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640867105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8444 CLINT DR",
            "city": "BELTON",
            "state": "MO",
            "postal_code": "640125329",
            "telephone_number": "816-831-3670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHATZER",
        "first_name": "SYDNEY",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-14",
        "last_updated": "2023-02-14",
        "certification_date": "2023-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2023004483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belton, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2023; 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.