Individual provider Active NPI

Susan M Gates, PT, MPT

  • Physical Therapist
  • Kansas City, MO
National Provider Identifier
1629400775
Registry record updated Aug 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2000162942 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
Jul 31, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2020

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 61088492 WA
Physical Therapist 225100000X 86803692401 UT
Physical Therapist 225100000X 2000162942 MO Primary

Addresses

Primary practice location

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

Mailing address

11212 Sunrise Blvd E Ste 202
Puyallup, WA 98374-8847
Phone (253) 435-0360

Other practice location 1

11212 Sunrise Blvd E Ste 202
Puyallup, WA 98374-8847
Phone (253) 435-0360

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, WA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20191016001408 KS Practitioner - Physical Therapist in Private Practice 3779855549 Reassigns benefits to 1 organization
I20221101002429 WA Practitioner - Physical Therapist in Private Practice 3779855549 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Multicare Health SystemGroup PAC ID 7719899897, 2,312 clinicians

Practice addresses (Care Compare)

8011 112TH St CT E
Puyallup, WA 98373-7814
Phone (253) 848-0662

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2000162942MOMDPhysical Therapist
86803692401UTMDPhysical Therapist
61088492WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Physiotherapy Associates Inc CurrentSince Jul 16, 2022 Accepting new patients
Select Physical Therapy Holdings, Inc. Physical Therapist CurrentSince Sep 4, 2019 Accepting new patients
Physiotherapy Associates, Inc. Physical Therapist CurrentSince Jul 16, 2022 Accepting new patients
Select Physical Therapy Holdings Inc CurrentSince Sep 4, 2019 Accepting new patients
Select Physical Therapy Holdings Inc PastSince Aug 23, 2020 Accepting new patients
Physiotherapy Associates Inc Physical Therapist Past Accepting new patients
Novacare Physical Therapist PastSince Aug 23, 2020 Accepting new patients

Locations

5922 Barkley St
Mission, KS 66202
Phone (913) 229-9440

1061 E 151st St
Olathe, KS 66062
Phone (913) 829-3133

463 Tremont St W
Ste 100
Port Orchard, WA 98366
Phone (360) 874-0745

11212 Sunrise Blvd E
Ste 202
Puyallup, WA 98374
Phone (253) 435-0360

23515 NE Novelty Hill Rd
Ste B213
Redmond, WA 98053
Phone (425) 868-5260

Organizations & group practices 8

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": "1375228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597881600000",
    "number": "1629400775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11212 SUNRISE BLVD E STE 202",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983748847",
            "telephone_number": "253-435-0360",
            "fax_number": "215-413-4631"
        },
        {
            "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": "11212 Sunrise Blvd E Ste 202",
            "address_purpose": "LOCATION",
            "city": "Puyallup",
            "state": "WA",
            "postal_code": "983748847",
            "country_code": "US",
            "telephone_number": "253-435-0360",
            "fax_number": "253-435-0325",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GATES",
        "first_name": "SUSAN",
        "middle_name": "M",
        "credential": "PT, MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-31",
        "last_updated": "2020-08-20",
        "certification_date": "2020-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "61088492",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "86803692401",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2000162942",
            "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 Aug 20, 2020; 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.