Individual provider Active NPI

Abbey Elizabeth Gebhardt

  • Orthopedic Physical Therapist
  • Independence, MO
National Provider Identifier
1740701309
Registry record updated Jul 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
2017022879 Issued in MO
Practice address
3801 Selsa Rd Ste 7
Independence, MO 64057-1712
Phone
(816) 795-0434
NPI assigned
Jul 3, 2017
Last updated
Jul 3, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 2017022879 MO Primary

Addresses

Primary practice location

3801 Selsa Rd Ste 7
Independence, MO 64057-1712

Mailing address

459 Foxtrail Dr
Hazelwood, MO 63042-1430
Phone (314) 603-7011

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

LicenseStateTypeSpecialty
2017022879MOMDOrthopedic Physical Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1499040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1499040000000",
    "number": "1740701309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "459 FOXTRAIL DR",
            "city": "HAZELWOOD",
            "state": "MO",
            "postal_code": "630421430",
            "telephone_number": "314-603-7011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 SELSA RD STE 7",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640571712",
            "telephone_number": "816-795-0434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEBHARDT",
        "first_name": "ABBEY",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-03",
        "last_updated": "2017-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "MO",
            "license": "2017022879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Independence, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.