Active NPI
Mary Kay Schwenk, PTA
- Physical Therapy Assistant
- Overland Park, KS
National Provider Identifier
1669665295
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- Practice address
- 10300 W 103Rd St
Suite 300
Overland Park, KS 66214-2642 - Phone
- (913) 894-1910
- NPI assigned
- Aug 27, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | Primary |
Addresses
Primary practice location
10300 W 103Rd St
Suite 300
Overland Park, KS 66214-2642
Mailing address
10300 W 103Rd St
Suite 300
Overland Park, KS 66214-2642
Phone (913) 894-1910
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 115827 | Other | MO | PTA |
| 14-01179 | Other | KS | PTA |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188172800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1188259200000",
"number": "1669665295",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10300 W 103RD ST",
"address_2": "SUITE 300",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662142642",
"telephone_number": "913-894-1910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10300 W 103RD ST",
"address_2": "SUITE 300",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662142642",
"telephone_number": "913-894-1910"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHWENK",
"first_name": "MARY",
"middle_name": "KAY",
"name_prefix": "Mrs.",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-27",
"last_updated": "2007-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTA",
"identifier": "115827",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTA",
"identifier": "14-01179",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Overland Park, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.