Individual provider Active NPI

Sidney L Hagge-Cocke, DPT

  • Physical Therapist
  • Lenexa, KS
National Provider Identifier
1760042576
Registry record updated Jan 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1106119 Issued in KS
Practice address
8550 Marshall Dr Ste 210
Lenexa, KS 66214-9836
Phone
(913) 492-0333
Fax
(913) 492-0334
NPI assigned
Jun 14, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1106119 KS Primary

Addresses

Primary practice location

8550 Marshall Dr Ste 210
Lenexa, KS 66214-9836

Mailing address

200 W Douglas Ave Ste 1040
Wichita, KS 67202-3017
Phone (316) 263-0003

Other names 1

  • Sidney Hagge Former name

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190730004218 KS Practitioner - Physical Therapist in Private Practice 7416283304 Reassigns benefits to 1 organization
I20191025002230 MO Practitioner - Physical Therapist in Private Practice 7416283304 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Preferred PT LLCGroup PAC ID 9436447422, 48 clinicians

Practice addresses (Care Compare)

373 W 101St Ter
220 Preferred PT Wornall
Kansas City, MO 64114-4408
Phone (816) 489-4161

8550 Marshall Dr
Suite 210
Lenexa, KS 66214-9836
Phone (913) 492-0333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Preferred PT LLC Physical Therapist CurrentSince May 31, 2019 Accepting new patients
Preferred PT, LLC Physical Therapist CurrentSince May 31, 2019 Accepting new patients
Preferred PT, LLC Physical Therapist CurrentSince Sep 24, 2019 Accepting new patients
Preferred PT LLC Physical Therapist Current Accepting new patients

Locations

8550 Marshall Dr
Ste 210
Overland Park, KS 66214
Phone (913) 492-0333

373 W 101st Ter
Ste 220
Kansas City, MO 64114
Phone (816) 489-4161

101 NW Englewood Rd
Ste 110
Kansas City, MO 64118
Phone (816) 413-0900

Organizations & group practices 4

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": "1560470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610323200000",
    "number": "1760042576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W DOUGLAS AVE STE 1040",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672023017",
            "telephone_number": "316-263-0003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8550 MARSHALL DR STE 210",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662149836",
            "telephone_number": "913-492-0333",
            "fax_number": "913-492-0334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGGE-COCKE",
        "first_name": "SIDNEY",
        "middle_name": "L",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-14",
        "last_updated": "2021-01-11",
        "certification_date": "2021-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "1106119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SIDNEY",
            "last_name": "HAGGE",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lenexa, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2021; 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.