NPIMap

Krisha Ranile

Individual provider Active NPI Physical Therapist · Gladstone, MO

NPI 1619705662 · NPPES record last updated Jul 22, 2024

Key facts

NPI
1619705662
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
2010017193 (MO)
Practice address
2900 NE Kendallwood Pkwy
Gladstone, MO 64119-1858
Phone
(816) 249-1650
NPI assigned
Jul 22, 2024
Sex
Female
Sole proprietor
Yes

Organizations & group practices 12

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, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Empowerme Rehabilitation Missouri LLC (207 clinicians)
Empowerme Wellness Kansas City, LLC (152 clinicians)

Practice addresses (Care Compare)

1800 1St Capitol Dr
Apt 1
Saint Charles, MO 63301-1660
Phone (636) 242-1764

9101 N Ambassador Dr
Kansas City, MO 64154-7295
Phone (816) 631-0847

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MO

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20241008002937 MO Practitioner - Physical Therapist in Private Practice 8729519293 Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Empowerme Wellness Kansas City, LLC Physical Therapist Current
since Oct 8, 2024		 Accepting new patients
Empowerme Rehabilitation Missouri LLC Physical Therapist Current
since Oct 8, 2024		 Accepting new patients
Empowerme Wellness Kansas City, LLC Current
since Oct 8, 2024		 Accepting new patients
Empowerme Rehabilitation Missouri LLC Physical Therapist Current
since Oct 8, 2024		 Accepting new patients

Locations

16255 Chesterfield Pkwy W
Chesterfield, MO 63017
Phone (636) 812-6942

2160 SE Blue Pkwy
Lees Summit, MO 64063
Phone (816) 554-0101

1800 1st Capitol Dr
Saint Charles, MO 63301
Phone (636) 255-8094

1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 673-6723

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2010017193 MO Yes

Addresses

Primary practice location

2900 NE Kendallwood Pkwy
Gladstone, MO 64119-1858

Mailing address

920 NW 94TH St
Kansas City, MO 64155-2502
Phone (314) 443-2374

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 22, 2024.

{
    "created_epoch": "1721606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721606400000",
    "number": "1619705662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 NW 94TH ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641552502",
            "telephone_number": "314-443-2374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 NE KENDALLWOOD PKWY",
            "city": "GLADSTONE",
            "state": "MO",
            "postal_code": "641191858",
            "telephone_number": "816-249-1650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANILE",
        "first_name": "KRISHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-22",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2010017193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gladstone, MO

All providers in Gladstone, MO · Physical Therapist in Missouri

Sources for this page

Verify at the official NPI Registry.