Active NPI
Lisa Jane Gress, PT
- Specialist
- Overland Park, KS
National Provider Identifier
1487878187
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 3675
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9725 | Other | MA | PHYSICAL THERAPIST LICENS |
| 3675 | Other | KS | PHYSICAL 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
| License | State | Type | Specialty |
|---|---|---|---|
| 3675 | KS | MD | Professional Counselor |
| 9725 | MA | MD | Clinical 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.