Active NPI
Heather Leigh Evans, PT
- Physical Therapist
- Lees Summit, MO
National Provider Identifier
1558486100
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2006013172
- Practice address
- 668 SE Bayberry LN Ste 105
Lees Summit, MO 64063-4366 - Phone
- (816) 434-5180
- Fax
- (816) 286-1112
- NPI assigned
- Mar 20, 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2006013172 | MO | Primary |
| Physical Therapist | 225100000X | 11-03551 | KS |
Addresses
Primary practice location
668 SE Bayberry LN Ste 105
Lees Summit, MO 64063-4366
Mailing address
668 SE Bayberry LN Ste 105
Lees Summit, MO 64063-4366
Phone (816) 434-5180
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2006013172 | Other | MO | STATE LICENSE |
| 11-03551 | Other | KS | STATE LICENSE |
Other names 1
- Heather Leigh Schulze
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11-03551 | KS | MD | Physical Therapist |
| 2006013172 | MO | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1587340800000",
"number": "1558486100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "668 SE BAYBERRY LN STE 105",
"city": "LEES SUMMIT",
"state": "MO",
"postal_code": "640634366",
"telephone_number": "816-434-5180",
"fax_number": "816-286-1112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "668 SE BAYBERRY LN STE 105",
"city": "LEES SUMMIT",
"state": "MO",
"postal_code": "640634366",
"telephone_number": "816-434-5180",
"fax_number": "816-286-1112"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVANS",
"first_name": "HEATHER",
"middle_name": "LEIGH",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-20",
"last_updated": "2020-04-20",
"certification_date": "2020-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MO",
"license": "2006013172",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KS",
"license": "11-03551",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "2006013172",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "11-03551",
"state": "KS"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "HEATHER",
"last_name": "SCHULZE",
"middle_name": "LEIGH",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Lees Summit, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.