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
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
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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080926000638 | KS | Practitioner - Physical Therapist in Private Practice | 2567421548 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2013 | KS | MD | Optometrist |
| 0041631 | MO | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
{
"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
- Joseph J. Parelman
- Juhye Park
- Shelley Kay Parrett
- Zachary Paschall
- Ekta Patel
- Sarah Elizabeth Pattison
- Paul Thomas Physical Therapy,LLC
- Pauls Optical Company Inc
- Juan Camilo Paz Delgado
- Nicole Pearlstein
All providers in Prairie Village, KS · Physical Therapist in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 17, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.