Organization Active NPI

Partners in Rehab Medicine

  • Physical Medicine & Rehabilitation Physician
  • Overland Park, KS
National Provider Identifier
1578968368
Registry record updated Oct 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
PARTNERS IN REHAB MEDICINE
Practice address
10985 Cody St Ste 115
Overland Park, KS 66210-1224
Phone
(816) 444-1777
Fax
(816) 333-3277
NPI assigned
Oct 23, 2014
Last updated
Oct 21, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2026

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

Authorized official

Name
Andrea S Wildman
Title
Office Manager
Phone
(816) 444-1777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X Primary

Addresses

Primary practice location

10985 Cody St Ste 115
Overland Park, KS 66210-1224

Mailing address

10985 Cody St Ste 115
Overland Park, KS 66210-1224
Phone (816) 444-1777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, MO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20150226001621 KS Part B Supplier - Clinic/Group Practice 3678899242 Receives reassigned benefits from 6 practitioners
Practice locations: Overland Park, KS; Lawrence, KS; Emporia, KS
O20150316002021 MO Part B Supplier - Clinic/Group Practice 3678899242 Receives reassigned benefits from 4 practitioners
Practice locations: Kansas City, MO

National Provider Directory

National Provider Directory

Locations

1201 Wakarusa Dr
Ste C3
Lawrence, KS 66049
Phone (785) 766-6567

10985 Cody St
Ste 115
Overland Park, KS 66210

2340 E Meyer Blvd
Ste 346
Kansas City, MO 64132
Phone (816) 943-2819

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1414022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792540800000",
    "number": "1578968368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10985 CODY ST STE 115",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662101224",
            "telephone_number": "816-444-1777",
            "fax_number": "816-333-3277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10985 CODY ST STE 115",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662101224",
            "telephone_number": "816-444-1777",
            "fax_number": "816-333-3277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARTNERS IN REHAB MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-23",
        "last_updated": "2026-10-21",
        "certification_date": "2026-10-21",
        "status": "A",
        "authorized_official_last_name": "WILDMAN",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "816-444-1777"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "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 Oct 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.