Halleck Kristian Bilyeu, PT, DPT

Individual provider Active NPI Physical Therapist · Independence, MO

NPI 1679217541 · NPPES record last updated Apr 26, 2022

Key facts

NPI
1679217541
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
2020029963 (MO)
Practice address
4200 Little Blue Pkwy Ste 320
Independence, MO 64057-8324
Phone
(816) 709-3319
NPI assigned
Apr 26, 2022
Sex
Male
Sole proprietor
No

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Medicare Care Compare profile

Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northland Physical Therapy and Rehab Services Inc (120 clinicians)

Practice addresses (Care Compare)

2100 Swift Ave
North Kansas City, MO 64116-3426
Phone (816) 474-8877

Hospital & facility affiliations

  • Ascentist Hospital LLC Hospital · Leawood, KS · CCN 170194

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in MO, KS

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20220601001753 MO Practitioner - Physical Therapist in Private Practice 8820476906 Reassigns benefits to 1 organization
I20230522000283 KS Practitioner - Physical Therapist in Private Practice 8820476906 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Ascentist Physicians Group, LLC Current
since Apr 22, 2023
Accepting new patients
KC Chiro, LLC Past
since Nov 8, 2024
Accepting new patients

Locations

2300 Hutton Rd
Ste 106
Kansas City, KS 66109
Phone (913) 728-0386

4901 College Blvd
Leawood, KS 66211
Phone (816) 836-2200

4860 College Blvd
Overland Park, KS 66211

Interoperability endpoints

  • Direct secure messaging: halleck.bilyeu.1@12752.direct.athenahealth.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2020029963 MO Yes

Addresses

Primary practice location

4200 Little Blue Pkwy Ste 320
Independence, MO 64057-8324

Mailing address

13105 Winchester Ave
Grandview, MO 64030-3219
Phone (816) 529-7877

Other providers in Independence, MO

All providers in Independence, MO · Physical Therapist in Missouri

Sources for this page

Verify at the official NPI Registry.