Individual provider Active NPI

Lindy Liepke

  • Physical Therapist
  • Kansas City, MO
National Provider Identifier
1790088565
Registry record updated May 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2005029648 Issued in MO
Practice address
1301 Tullison Rd
Kansas City, MO 64116-2640
Phone
(816) 768-6054
NPI assigned
Dec 16, 2010
Last updated
May 29, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2630 NE
Physical Therapist 225100000X 8661 MN
Physical Therapist 225100000X 5434 OR
Physical Therapist 225100000X 28326 FL
Physical Therapist 225100000X 2005029648 MO Primary

Addresses

Primary practice location

1301 Tullison Rd
Kansas City, MO 64116-2640

Mailing address

1301 Tullison Rd
Kansas City, MO 64116-2640
Phone (816) 768-6054

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250613001526 MO Practitioner - Physical Therapist in Private Practice 9335650795 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2630NEMDClinical Social Worker
28326FLMDPhysical Therapist
8661MNMDPhysical Therapist
2005029648MOMDPhysical Therapist
5434ORMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Key Rehabilitation Inc CurrentSince May 15, 2025 Accepting new patients
Key Rehabilitation, Inc CurrentSince May 15, 2025 Accepting new patients
Key Rehabilitation,Inc. Current Accepting new patients

Locations

2900 NE Kendallwood Pkwy
Kansas City, MO 64119
Phone (816) 280-4280

620 N Jefferson St
Saint James, MO 65559
Phone (573) 265-0448

1335 NW Broad St
Murfreesboro, TN 37129
Phone (615) 983-0240

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1292457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748476800000",
    "number": "1790088565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 TULLISON RD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641162640",
            "telephone_number": "816-768-6054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 TULLISON RD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641162640",
            "telephone_number": "816-768-6054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIEPKE",
        "first_name": "LINDY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-16",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "2630",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "8661",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "5434",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "28326",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2005029648",
            "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 May 29, 2025; 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.