Individual provider Active NPI

Kayla Jane Tweedt, PT, DPT

  • Physical Therapist
  • Leawood, KS
National Provider Identifier
1730913328
Registry record updated Aug 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11-07034 Issued in KS
Practice address
5420 W 151St St
Leawood, KS 66224-8713
Phone
(913) 219-5696
Fax
(913) 283-8303
NPI assigned
Aug 27, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical Therapist 2251P0200X 11-07034 KS
Physical Therapist 225100000X 11-07034 KS Primary

Addresses

Primary practice location

5420 W 151St St
Leawood, KS 66224-8713

Mailing address

4405 Ironwood Dr
Leavenworth, KS 66048-5592
Phone (515) 770-9277

Other practice location 1

8929 Parallel Pkwy
Kansas City, KS 66112-3607
Phone (913) 596-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241217002182 KS Practitioner - Physical Therapist in Private Practice 1850828708 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Legacy Healthcare Services IncGroup PAC ID 2163339722, 3,431 clinicians

Practice addresses (Care Compare)

6335 Maurer Rd
Shawnee Hills, KS 66208-3851
Phone (913) 242-7070

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Deborah a King Ma & Associates Inc Physical Therapist CurrentSince Nov 1, 2024 Accepting new patients

Locations

721 Metropolitan Ave
Ste C
Leavenworth, KS 66048
Phone (913) 250-5452

10000 W 75th St
Ste 121
Shawnee Msn, KS 66204
Phone (913) 362-7518

Organizations & group practices 2

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": "1724716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724716800000",
    "number": "1730913328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4405 IRONWOOD DR",
            "city": "LEAVENWORTH",
            "state": "KS",
            "postal_code": "660485592",
            "telephone_number": "515-770-9277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5420 W 151ST ST",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662248713",
            "telephone_number": "913-219-5696",
            "fax_number": "913-283-8303"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8929 Parallel Pkwy",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "KS",
            "postal_code": "661123607",
            "country_code": "US",
            "telephone_number": "913-596-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TWEEDT",
        "first_name": "KAYLA",
        "middle_name": "JANE",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-27",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "KS",
            "license": "11-07034",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "11-07034",
            "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 Aug 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.