Active NPI
Michael Wesley Hauber, DPT
- Physical Therapist
- Leawood, KS
National Provider Identifier
1689056483
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2015027170
- Practice address
- 12728 State Line Rd
Leawood, KS 66209 - Phone
- (816) 941-2550
- Fax
- (816) 941-2520
- NPI assigned
- Jun 29, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2015017586 | MO | |
| Physical Therapist | 225100000X | 1105534 | KS | |
| Physical Therapist | 225100000X | 2015027170 | MO | Primary |
Addresses
Primary practice location
12728 State Line Rd
Leawood, KS 66209
Mailing address
335 NW Barry Rd
Kansas City, MO 64155-2740
Phone (816) 468-5278
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1105534 | KS | MD | Physical Therapist |
| 2015017586 | MO | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614816000000",
"number": "1689056483",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "335 NW BARRY RD",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641552740",
"telephone_number": "816-468-5278",
"fax_number": "816-285-5278"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12728 STATE LINE RD",
"city": "LEAWOOD",
"state": "KS",
"postal_code": "66209",
"telephone_number": "816-941-2550",
"fax_number": "816-941-2520"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAUBER",
"first_name": "MICHAEL",
"middle_name": "WESLEY",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-06-29",
"last_updated": "2021-03-04",
"certification_date": "2021-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MO",
"license": "2015017586",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KS",
"license": "1105534",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MO",
"license": "2015027170",
"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 Mar 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.