Individual provider Active NPI

Tri Le, PT, DPT

  • Physical Therapist
  • Independence, MO
National Provider Identifier
1609654664
Registry record updated Aug 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2019020965 Issued in MO
Practice address
4600 S Noland Rd Ste a
Independence, MO 64055-4797
Phone
(816) 313-2220
Fax
(816) 897-2390
NPI assigned
Sep 20, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 11-07365 KS
Physical Therapist 225100000X 1394668 TX
Physical Therapist 225100000X 2019020965 MO Primary

Addresses

Primary practice location

4600 S Noland Rd Ste a
Independence, MO 64055-4797

Mailing address

24703 Alberti Sonata Dr
Katy, TX 77493-3315
Phone (816) 377-0775

Other practice location 1

810 S Mason Rd Ste 101
Katy, TX 77450-3857
Phone (281) 392-7811

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250902003256 MO Practitioner - Physical Therapist in Private Practice 5698276442 Reassigns benefits to 1 organization
I20260514003250 CA Practitioner - Physical Therapist in Private Practice 5698276442 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Athletico LTDGroup PAC ID 4789602681, 2,187 clinicians

Practice addresses (Care Compare)

6403 N Prospect Ave
Suite 450
Gladstone, MO 64119-1545
Phone (816) 656-3698

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11-07365KSMDPhysical Therapist
2019020965MOMDPhysical Therapist
1394668TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Athletico LTD Physical Therapist Current Accepting new patients
Athletico LTD Physical Therapist CurrentSince Aug 18, 2025 Accepting new patients
Athletico LTD Physical Therapist CurrentSince Aug 18, 2025 Accepting new patients
Shawnee Mission Medical Center, Inc. PastSince Sep 1, 2023 Accepting new patients

Locations

2122 York Rd
Ste 300
Oak Brook, IL 60523
Phone (630) 575-6250

6403 N Prospect Ave
#450
Gladstone, MO 64119
Phone (816) 656-3698

4600 S Noland Rd
Ste A
Independence, MO 64055
Phone (816) 313-2220

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

1832 Wentzville Pkwy
Wentzville, MO 63385
Phone (636) 327-7110

Interoperability endpoints

  • Direct secure messaging: tri.le.p9@direct.athleticoltd.nextgenshare.com

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": "1695168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756080000000",
    "number": "1609654664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24703 ALBERTI SONATA DR",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774933315",
            "telephone_number": "816-377-0775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 S NOLAND RD STE A",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640554797",
            "telephone_number": "816-313-2220",
            "fax_number": "816-897-2390"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "810 S Mason Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Katy",
            "state": "TX",
            "postal_code": "774503857",
            "country_code": "US",
            "telephone_number": "281-392-7811",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LE",
        "first_name": "TRI",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-20",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "11-07365",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1394668",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2019020965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Independence, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2025; 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.