Individual provider Active NPI

Sydney C Wade, PT

  • Physical Therapist
  • Prairie Village, KS
National Provider Identifier
1508674367
Registry record updated Dec 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11-07750 Issued in KS
Practice address
5200 W 94TH Ter Ste 112
Prairie Village, KS 66207-2534
Phone
(913) 224-2990
Fax
(913) 224-2992
NPI assigned
Dec 26, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2024

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 11-07750 KS Primary

Addresses

Primary practice location

5200 W 94TH Ter Ste 112
Prairie Village, KS 66207-2534

Mailing address

5200 W 94TH Ter Ste 112
Prairie Village, KS 66207-2534
Phone (913) 224-2990

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250121002317 KS Practitioner - Physical Therapist in Private Practice 3375072317 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Texas Tech University Health Science Center School of Medicine, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Empower Physical Therapy and Performance LLCGroup PAC ID 4587085576, 8 clinicians

Practice addresses (Care Compare)

5200 W 94TH Ter
Suite 112
Prairie Village, KS 66207-2534
Phone (913) 224-2990

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Empower PTP Lenexa Physical Therapist CurrentSince Dec 29, 2024 Accepting new patients
Empower Physical Therapy & Performance LLC Physical Therapist CurrentSince Jan 10, 2025 Accepting new patients

Locations

5200 W 94th Ter
Ste 112
Prairie Village, KS 66207
Phone (913) 224-2990

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1735171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735171200000",
    "number": "1508674367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 W 94TH TER STE 112",
            "city": "PRAIRIE VILLAGE",
            "state": "KS",
            "postal_code": "662072534",
            "telephone_number": "913-224-2990",
            "fax_number": "913-224-2992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 W 94TH TER STE 112",
            "city": "PRAIRIE VILLAGE",
            "state": "KS",
            "postal_code": "662072534",
            "telephone_number": "913-224-2990",
            "fax_number": "913-224-2992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADE",
        "first_name": "SYDNEY",
        "middle_name": "C",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-26",
        "last_updated": "2024-12-26",
        "certification_date": "2024-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "11-07750",
            "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 Dec 26, 2024; 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.