Individual provider Active NPI

Tarrah Nicole Kelly, DPT

  • Physical Therapist
  • Leawood, KS
National Provider Identifier
1629833249
Registry record updated Apr 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2024047693 Issued in MO
Practice address
6701 W 121St St Ste 300
Leawood, KS 66209-2034
Phone
(913) 498-8492
NPI assigned
Feb 14, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 11-07517 KS
Physical Therapist 225100000X 2024047693 MO Primary

Addresses

Primary practice location

6701 W 121St St Ste 300
Leawood, KS 66209-2034

Mailing address

13295 S Lakeshore Dr
Olathe, KS 66061-5008

Other practice location 1

406 Armour Rd Ste 200
Kansas City, MO 64116-3558
Phone (816) 895-9126

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, MO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240321003063 KS Practitioner - Physical Therapist in Private Practice 7911344288 Reassigns benefits to 1 organization
I20250108003914 MO Practitioner - Physical Therapist in Private Practice 7911344288 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
May accept Medicare assignment
Group practices
Foundational Concepts IncGroup PAC ID 2961648126, 18 clinicians

Practice addresses (Care Compare)

310 Commercial St
Atchison, KS 66002-2519
Phone (816) 895-9126

601 E 63Rd St
Ste. 230
Kansas City, MO 64110-3339
Phone (816) 569-2802

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11-07517KSMDPhysical Therapist
2024047693MOMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Jennifer Worth MSW, LCSW, LLC CurrentSince Feb 18, 2024 Accepting new patients
Foundational Concepts, Inc. Physical Therapist CurrentSince Mar 1, 2024 Accepting new patients
Trusted Care Chiropractic LLC CurrentSince Mar 1, 2024 Accepting new patients

Locations

310 Commercial St
Atchison, KS 66002
Phone (816) 895-9126

6701 W 121st St
Ste 300
Overland Park, KS 66209
Phone (816) 312-5451

601 E 63rd St
Ste 230
Kansas City, MO 64110
Phone (816) 312-5451

Organizations & group practices 3

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": "1707868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744156800000",
    "number": "1629833249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13295 S LAKESHORE DR",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660615008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6701 W 121ST ST STE 300",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662092034",
            "telephone_number": "913-498-8492"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "406 Armour Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641163558",
            "country_code": "US",
            "telephone_number": "816-895-9126",
            "fax_number": "816-569-5436",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLY",
        "first_name": "TARRAH",
        "middle_name": "NICOLE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-14",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "11-07517",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2024047693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leawood, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2025; 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.