Individual provider Active NPI

Mary Tolson, DPT

  • Physical Therapist
  • Kansas City, MO
National Provider Identifier
1730740945
Registry record updated Mar 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2019027961 Issued in MO
Practice address
4323 N Chouteau Trfy Ste E
Kansas City, MO 64117-1756
Phone
(816) 452-2827
NPI assigned
Jun 27, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2020

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 11-06124 KS
Physical Therapist 225100000X 2019027961 MO Primary

Addresses

Primary practice location

4323 N Chouteau Trfy Ste E
Kansas City, MO 64117-1756

Mailing address

4323 N Chouteau Trfy
Kansas City, MO 64117-1705

Other practice location 1

1333 Meadowlark Ln Ste 104
Kansas City, KS 66102-1200
Phone (913) 287-8815

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20231025001668 KS Practitioner - Physical Therapist in Private Practice 0042666190 Reassigns benefits to 1 organization
I20231025002814 MO Practitioner - Physical Therapist in Private Practice 0042666190 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11-06124KSMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Select Physical Therapy Holdings Inc Physical Therapist Current Accepting new patients
Select Physical Therapy Holdings Inc CurrentSince Sep 12, 2023 Accepting new patients
Select Physical Therapy Holdings, Inc. Physical Therapist CurrentSince Sep 12, 2023 Accepting new patients
Select Physical Therapy Holdings, Inc. Physical Therapist CurrentSince Sep 13, 2023 Accepting new patients
Select Physical Therapy Holdings Inc PastSince Mar 1, 2020 Accepting new patients
Novacare Physical Therapist PastSince Mar 1, 2020 Accepting new patients

Locations

1333 Meadowlark Ln
Ste 104
Kansas City, KS 66102
Phone (913) 287-8815

100 E Kansas St
Ste C
Lansing, KS 66043
Phone (913) 758-0283

5922 Barkley St
Mission, KS 66202
Phone (913) 229-9440

200 NE 54th St
Ste 101
Kansas City, MO 64118
Phone (816) 455-0301

Organizations & group practices 6

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": "1561593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583798400000",
    "number": "1730740945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4323 N CHOUTEAU TRFY",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641171705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4323 N CHOUTEAU TRFY STE E",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641171756",
            "telephone_number": "816-452-2827"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1333 Meadowlark Ln Ste 104",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "KS",
            "postal_code": "661021200",
            "country_code": "US",
            "telephone_number": "913-287-8815",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TOLSON",
        "first_name": "MARY",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-27",
        "last_updated": "2020-03-10",
        "certification_date": "2020-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "11-06124",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2019027961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.