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
Hospital & facility affiliations 1
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
Practice addresses (Care Compare)
2100 Swift Ave
North Kansas City, MO 64116-3426
Phone (816) 474-8877
Hospital & facility affiliations
- Ascentist Hospital LLC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MO, KS
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ascentist Physicians Group, LLC | Current |
Accepting new patients | |
| KC Chiro, LLC | Past |
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
- halleck.bilyeu.1@12752.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
- Better Care in-Home Health Services Dba Better Care Adult Day Care
- Better Perspectives Behavioral Health LLC
- Emily Beymer
- Robert Juan Biber
- Wendy Kae Biggerstaff
- Bio-Kinetic Chiropractic
- Bio-Medical Applications of Missouri, Inc.
- Bio-Medical Applications of Missouri, Inc.
- Bionic Physical Therapy and Sports Performance, LLC
- Nancy Birenboim
All providers in Independence, MO · Physical Therapist in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 26, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.