Individual provider Active NPI

Stephanie S. Mathis, R.P.T.

  • Physical Therapist
  • Overland Park, KS
National Provider Identifier
1578865242
Registry record updated Dec 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1103592 Issued in KS
Practice address
14104 Gillette St
Overland Park, KS 66221-2848
Phone
(913) 449-0178
NPI assigned
Dec 1, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 1, 2010

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 1103592 KS Primary

Addresses

Primary practice location

14104 Gillette St
Overland Park, KS 66221-2848

Mailing address

PO Box 4103
Overland Park, KS 66204-0103

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220208000647 KS Practitioner - Physical Therapist in Private Practice 6901299569 Reassigns benefits to 2 organizations
I20241108000832 FL Practitioner - Physical Therapist in Private Practice 6901299569 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dynamic Mobile Rehab LLCGroup PAC ID 0749660801, 9 clinicians
Empowerme Rehabilitation Missouri LLCGroup PAC ID 9234402470, 207 clinicians
Empowerme Wellness Kansas City, LLCGroup PAC ID 9830504836, 152 clinicians
Fox Rehab PT FL LLCGroup PAC ID 7416345921, 76 clinicians

Practice addresses (Care Compare)

21208 Waymouth Run
Estero, FL 33928-3243
Phone (401) 256-9997

2700 Somerset Dr
Prairie Village, KS 66206-1173
Phone (913) 513-0220

4100 W 85TH St
Prairie Village, KS 66206-2166
Phone (913) 412-3745

8450 Lockwood Ridge Rd
Sarasota, FL 34243-2920
Phone (877) 407-3422

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1103592KSMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dynamic Mobile Rehab LLC Physical Therapist CurrentSince Oct 29, 2024 Accepting new patients
Fox Rehab PT FL LLC Physical Therapist CurrentSince Sep 1, 2025 Accepting new patients

Locations

8450 Lockwood Ridge Rd
Sarasota, FL 34243
Phone (941) 216-3800

Organizations & group practices 4

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": "1291161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291161600000",
    "number": "1578865242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4103",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662040103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14104 GILLETTE ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662212848",
            "telephone_number": "913-449-0178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHIS",
        "first_name": "STEPHANIE",
        "middle_name": "S.",
        "credential": "R.P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-01",
        "last_updated": "2010-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "1103592",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Dec 1, 2010; 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.