Sushma Patel, PT

Individual provider Active NPI Physical Therapist · Prairie Village, KS

NPI 1467570069 · NPPES record last updated Nov 17, 2016

Key facts

NPI
1467570069
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
0041631 (MO)
Practice address
1900 W 75TH St Lowr 10
Suite 300
Prairie Village, KS 66208-3522
Phone
(913) 432-3950
Fax
(913) 432-3948
NPI assigned
Mar 26, 2007
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare Care Compare profile

Specialty
Physical Therapist in Private Practice
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Body in Motion PC (3 clinicians)

Practice addresses (Care Compare)

1900 W 75TH St
Lowr 10
Prairie Village, KS 66208-3522
Phone (913) 432-3950

Medicare participation

Medicare fee-for-service enrollment
Enrolled in KS

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20080926000638 KS Practitioner - Physical Therapist in Private Practice 2567421548 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
2013KSMDOptometrist
0041631MOMDPhysical Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 0041631 MO Yes

Addresses

Primary practice location

1900 W 75TH St Lowr 10
Suite 300
Prairie Village, KS 66208-3522

Mailing address

1900 W 75TH St Lowr 10
Suite 300
Prairie Village, KS 66208-3522
Phone (913) 432-3950

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 17, 2016.

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479340800000",
    "number": "1467570069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 W 75TH ST LOWR 10",
            "address_2": "SUITE 300",
            "city": "PRAIRIE VILLAGE",
            "state": "KS",
            "postal_code": "662083522",
            "telephone_number": "913-432-3950",
            "fax_number": "913-432-3948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 W 75TH ST LOWR 10",
            "address_2": "SUITE 300",
            "city": "PRAIRIE VILLAGE",
            "state": "KS",
            "postal_code": "662083522",
            "telephone_number": "913-432-3950",
            "fax_number": "913-432-3948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "SUSHMA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-26",
        "last_updated": "2016-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "0041631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prairie Village, KS

All providers in Prairie Village, KS · Physical Therapist in Kansas

Sources for this page

Verify at the official NPI Registry.