Individual provider Active NPI

Sushma Patel, PT

  • Physical Therapist
  • Prairie Village, KS
National Provider Identifier
1467570069
Registry record updated Nov 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0041631 Issued in 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
Last updated
Nov 17, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2016

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 0041631 MO Primary

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

Medicare participation

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

Enrollment records 1

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

Care Compare profile

Medicare Care Compare
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 PCGroup PAC ID 0840259826, 3 clinicians

Practice addresses (Care Compare)

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2013KSMDOptometrist
0041631MOMDPhysical Therapist

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, 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": "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

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2016; 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.