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

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.

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 (2,187 clinicians)

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 (group)
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 IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
11-05040KSMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Athletico LTD Physical Therapist Current
since Mar 1, 2019
Accepting new patients
Athletico LTD Physical Therapist Current
since May 1, 2019
Accepting new patients
Athletico LTD Physical Therapist Current
since Mar 1, 2019
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)CodeLicenseStatePrimary
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

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 19, 2015.

{
    "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

All providers in Lansing, KS · Physical Therapist in Kansas

Sources for this page

Verify at the official NPI Registry.