Individual provider Active NPI

Lisa Jane Gress, PT

  • Specialist
  • Overland Park, KS
National Provider Identifier
1487878187
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
3675 Issued in KS
Practice address
Quantum Health Professionals
10300 W 103Rd St., Suite 300
Overland Park, KS 66214
Phone
(913) 894-1910
NPI assigned
Apr 12, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 3675 KS Primary
Specialist 174400000X 9725 MA

Addresses

Primary practice location

Quantum Health Professionals
10300 W 103Rd St., Suite 300
Overland Park, KS 66214

Mailing address

20914 W 58TH St
Shawnee, KS 66218-8401
Phone (913) 327-9166

Other identifiers 2

IdentifierTypeStateIssuer
9725OtherMAPHYSICAL THERAPIST LICENS
3675OtherKSPHYSICAL THERAPIST LICENS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
3675KSMDProfessional Counselor
9725MAMDClinical Psychologist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487878187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20914 W 58TH ST",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662188401",
            "telephone_number": "913-327-9166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "QUANTUM HEALTH PROFESSIONALS",
            "address_2": "10300 W 103RD ST., SUITE 300",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "66214",
            "telephone_number": "913-894-1910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRESS",
        "first_name": "LISA",
        "middle_name": "JANE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "KS",
            "license": "3675",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MA",
            "license": "9725",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPIST LICENS",
            "identifier": "9725",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPIST LICENS",
            "identifier": "3675",
            "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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.