Individual provider Active NPI

Glenneisha E Pouncil, PTA

  • Physical Medicine & Rehabilitation Physician
  • Independence, MO
National Provider Identifier
1629818901
Registry record updated May 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
2021044000 Issued in MO
Practice address
14500 E 42ND St S Ste 220
Independence, MO 64055-4700
Phone
(816) 478-7800
NPI assigned
May 25, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 2021044000 MO Primary

Addresses

Primary practice location

14500 E 42ND St S Ste 220
Independence, MO 64055-4700

Mailing address

7145 Sni a Bar Rd
Kansas City, MO 64129-1975
Phone (816) 916-1830

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

LicenseStateTypeSpecialty
2021044000MOMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Zenith Rehabilitation, LLC CurrentSince May 26, 2024 Accepting new patients

Locations

14500 E 42nd St S
Ste 220
Independence, MO 64055
Phone (816) 478-7800

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1716595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716595200000",
    "number": "1629818901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7145 SNI A BAR RD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641291975",
            "telephone_number": "816-916-1830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14500 E 42ND ST S STE 220",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640554700",
            "telephone_number": "816-478-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POUNCIL",
        "first_name": "GLENNEISHA",
        "middle_name": "E",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-25",
        "last_updated": "2024-05-25",
        "certification_date": "2024-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MO",
            "license": "2021044000",
            "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 May 25, 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.

Verify at the official NPI Registry.