Individual provider Active NPI

Carol Ann Higgerson, P.T.

  • Physical Therapist
  • Overland Park, KS
National Provider Identifier
1467539932
Registry record updated Mar 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11-02050 Issued in KS
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, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2013

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 11-02050 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

IdentifierTypeStateIssuer
DD6341OtherKSRR MEDICARE
33465011OtherKSBLUE CROSS BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081224000311 KS Practitioner - Physical Therapist in Private Practice 1254493331 Reassigns benefits to 1 organization

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
LSCM LLCGroup PAC ID 1153757174, 9 clinicians

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 100Reported as individual
Quality
0
Improvement activities
0
Cost
75.88

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11-02050KSMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
LSCM, LLC Physical Therapist CurrentSince Jan 25, 2020 Accepting new patients
SLPT, LLC Physical Therapist PastSince Nov 1, 2016 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.

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.

Verify at the official NPI Registry.