Jeffrey Hubka, DPT
Individual provider Active NPI Physical Therapist · Lansing, KS
NPI 1598147183 · NPPES record last updated Jun 19, 2015
Key facts
- NPI
- 1598147183
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 11-05040 (KS)
- Practice address
- 712 1St Ter
Ste 103
Lansing, KS 66043-1735 - Phone
- (913) 727-2022
- Fax
- (913) 727-2033
- NPI assigned
- Jun 19, 2015
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Athletico LTD
Practice addresses (Care Compare)
14895 W 151St St
Athletico Physical Therapy
Olathe, KS 66062-3139
Phone (913) 440-0992
229 S Stewart Rd
Suite E 3
Liberty, MO 64068-4206
Phone (816) 656-3695
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.32 of 100
- Quality
- 84.44
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 70.78
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in KS, MO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150626001294 | KS | Practitioner - Physical Therapist in Private Practice | 0042522450 | Reassigns benefits to 1 organization |
| I20150730013223 | MO | Practitioner - Physical Therapist in Private Practice | 0042522450 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11-05040 | KS | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Athletico LTD | Physical Therapist | Current |
Accepting new patients |
| Athletico LTD | Physical Therapist | Current |
Accepting new patients |
| Athletico LTD | Physical Therapist | Current |
Accepting new patients |
| Joel D Foster DPM PC | Past | Accepting new patients |
Locations
600 Oakmont Ln
Ste 600C
Westmont, IL 60559
Phone (630) 575-6250
14895 W 151st St
Olathe, KS 66062
Phone (913) 440-0992
9544 Antioch Rd
Overland Park, KS 66212
Phone (913) 396-6756
229 S Stewart Rd
Ste E3
Liberty, MO 64068
Phone (816) 656-3695
2007 W Foxwood Dr
Ste D
Raymore, MO 64083
Phone (816) 265-8116
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 11-05040 | KS | Yes |
Addresses
Primary practice location
712 1St Ter
Ste 103
Lansing, KS 66043-1735
Mailing address
200 W Douglas Ave
Ste 1040
Wichita, KS 67202-3013
Phone (316) 263-0003
NPI Registry JSON
{
"created_epoch": "1434672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1434672000000",
"number": "1598147183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 W DOUGLAS AVE",
"address_2": "STE 1040",
"city": "WICHITA",
"state": "KS",
"postal_code": "672023013",
"telephone_number": "316-263-0003",
"fax_number": "316-263-1241"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "712 1ST TER",
"address_2": "STE 103",
"city": "LANSING",
"state": "KS",
"postal_code": "660431735",
"telephone_number": "913-727-2022",
"fax_number": "913-727-2033"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUBKA",
"first_name": "JEFFREY",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-06-19",
"last_updated": "2015-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KS",
"license": "11-05040",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lansing, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 19, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.