Individual provider Active NPI

Carlin McNeley, DPT

  • Physical Therapist
  • Kansas City, MO
National Provider Identifier
1609497841
Registry record updated Sep 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2019042042 Issued in MO
Practice address
4323 N Chouteau Trfy Ste E
Kansas City, MO 64117-1756
Phone
(816) 452-2827
Fax
(816) 452-2493
NPI assigned
Apr 28, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2020

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 2019042042 MO Primary

Addresses

Primary practice location

4323 N Chouteau Trfy Ste E
Kansas City, MO 64117-1756

Mailing address

1223 NE 96TH Ter
Kansas City, MO 64155-2147
Phone (816) 785-7054

Other practice location 1

220 NW R D Mize Rd Ste B203
Blue Springs, MO 64014-2540
Phone (816) 220-1312

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240605002166 MO Practitioner - Physical Therapist in Private Practice 2567904535 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Select Physical Therapy Holdings Inc CurrentSince Apr 29, 2024 Accepting new patients
Select Physical Therapy Holdings, Inc. CurrentSince Apr 29, 2024 Accepting new patients
Select Physical Therapy Holdings Inc Physical Therapist Current Accepting new patients
Select Physical Therapy Holdings Inc PastSince Sep 27, 2020 Accepting new patients
Novacare Physical Therapist PastSince Sep 27, 2020 Accepting new patients

Organizations & group practices 5

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": "1588032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600732800000",
    "number": "1609497841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1223 NE 96TH TER",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641552147",
            "telephone_number": "816-785-7054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4323 N CHOUTEAU TRFY STE E",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641171756",
            "telephone_number": "816-452-2827",
            "fax_number": "816-452-2493"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "220 NW R D Mize Rd Ste B203",
            "address_purpose": "LOCATION",
            "city": "Blue Springs",
            "state": "MO",
            "postal_code": "640142540",
            "country_code": "US",
            "telephone_number": "816-220-1312",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCNELEY",
        "first_name": "CARLIN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-28",
        "last_updated": "2020-09-22",
        "certification_date": "2020-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2019042042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2020; 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.