Active NPI
Carol Ann Higgerson, P.T.
- Physical Therapist
- Overland Park, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11-02050
- Practice address
- 10600 Mastin St
Overland Park, KS 66212-5723 - Phone
- (913) 681-0606
- Fax
- (913) 338-1311
- NPI assigned
- Nov 1, 2006
- Last updated
- Mar 19, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 11-02050 | KS | Primary |
Addresses
Primary practice location
10600 Mastin St
Overland Park, KS 66212-5723
Mailing address
PO Box 741331
Atlanta, GA 30374-1331
Phone (913) 469-0503
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DD6341 | Other | KS | RR MEDICARE |
| 33465011 | Other | KS | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10800 Farley St
Suite 130
Overland Park, KS 66210-1418
Phone (913) 681-0606
11164 S Noble Dr
Suite 102
Olathe, KS 66061-7530
Phone (913) 553-2100
15100 Metcalf Ave
Suite 102
Overland Park, KS 66223-2899
Phone (913) 681-7628
Merit-based Incentive Payment System (MIPS)
- Final score
- 22.77 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 75.88
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11-02050 | KS | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| LSCM, LLC | Physical Therapist | Current | Accepting new patients |
| SLPT, LLC | Physical Therapist | Past | Accepting new patients |
| College Park Ancillary, LLC | Past | Accepting new patients | |
| College Park Family Care Center, P.a. | Past | Accepting new patients |
Locations
11164 S Noble Dr
Ste 102
Olathe, KS 66061
Phone (913) 553-2100
10600 Mastin St
Overland Park, KS 66212
Phone (913) 438-0868
10600 Mastin St
#B
Overland Park, KS 66212
Phone (913) 269-3232
15100 Metcalf Ave
Ste 102
Stanley, KS 66223
Phone (913) 681-0606
Organizations & group practices 4
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.
-
dba College Park Physical Therapy
- Physical Therapy Clinic/Center
- Overland Park, KS
- NPI 1356617757
-
- Radiology Clinic/Center
- Overland Park, KS
- NPI 1881803229
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363651200000",
"number": "1467539932",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 741331",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303741331",
"telephone_number": "913-469-0503",
"fax_number": "913-338-1311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10600 MASTIN ST",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662125723",
"telephone_number": "913-681-0606",
"fax_number": "913-338-1311"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HIGGERSON",
"first_name": "CAROL",
"middle_name": "ANN",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-01",
"last_updated": "2013-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KS",
"license": "11-02050",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "DD6341",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "33465011",
"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 Mar 19, 2013; 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.