Active NPI
Susan M Gates, PT, MPT
- Physical Therapist
- Kansas City, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2000162942
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, WA
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2000162942 | MO | MD | Physical Therapist |
| 86803692401 | UT | MD | Physical Therapist |
| 61088492 | WA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physiotherapy Associates Inc | Current | Accepting new patients | |
| Select Physical Therapy Holdings, Inc. | Physical Therapist | Current | Accepting new patients |
| Physiotherapy Associates, Inc. | Physical Therapist | Current | Accepting new patients |
| Select Physical Therapy Holdings Inc | Current | Accepting new patients | |
| Select Physical Therapy Holdings Inc | Past | Accepting new patients | |
| Physiotherapy Associates Inc | Physical Therapist | Past | Accepting new patients |
| Novacare | Physical Therapist | Past | 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.
-
- Neurological Surgery Physician
- Tacoma, WA
- NPI 1497766638
-
- Physical Therapist
- Kirkland, WA
- NPI 1497211049
-
- Physical Therapy Clinic/Center
- Lansing, KS
- NPI 1104336338
Physical Therapist
-
- Physical Therapy Clinic/Center
- Estero, FL
- NPI 1720039902
-
- Physical Therapy Clinic/Center
- Ashland, VA
- NPI 1174591218
-
- Physical Therapy Clinic/Center
- Cape Girardeau, MO
- NPI 1316907884
-
- Physical Therapist
- Glen Burnie, MD
- NPI 1134307598
-
- Rehabilitation Clinic/Center
- Bellevue, WA
- NPI 1205874690
Physical Therapist
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.