Active NPI
Kate Marie Frazier, PTA
- Physical Therapy Assistant
- Lee's Summit, MO
National Provider Identifier
1619730819
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 2008026537
- Practice address
- 500 NW Murray Rd
Lees Summit, MO 64081-1455 - Phone
- (816) 347-2738
- NPI assigned
- Feb 1, 2024
- Last updated
- Feb 1, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 2008026537 | MO | Primary |
Addresses
Primary practice location
500 NW Murray Rd
Lees Summit, MO 64081-1455
Mailing address
520 NW State Route 131
Holden, MO 64040-9470
Phone (816) 726-1376
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2008026537 | MO | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| John Knox Village | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Outpatient Therapy by John Knox Village
- Physical Therapy Clinic/Center
- Lee's Summit, MO
- NPI 1609573922
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1706745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706745600000",
"number": "1619730819",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "520 NW STATE ROUTE 131",
"city": "HOLDEN",
"state": "MO",
"postal_code": "640409470",
"telephone_number": "816-726-1376"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 NW MURRAY RD",
"city": "LEES SUMMIT",
"state": "MO",
"postal_code": "640811455",
"telephone_number": "816-347-2738"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRAZIER",
"first_name": "KATE",
"middle_name": "MARIE",
"credential": "PTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-02-01",
"last_updated": "2024-02-01",
"certification_date": "2024-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "MO",
"license": "2008026537",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lee's Summit, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.