Individual provider Active NPI

Lauren Elizabeth Abelson, PT

  • Physical Therapist
  • Kansas City, MO
National Provider Identifier
1801082243
Registry record updated Jan 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2013014792 Issued in MO
Practice address
621 Westover Rd
Kansas City, MO 64113-1119
Phone
(917) 697-6668
NPI assigned
Sep 19, 2007
Last updated
Jan 16, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2022

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 1173909 TX
Physical Therapist 225100000X 22497 MD
Physical Therapist 225100000X 070.015443 IL
Physical Therapist 225100000X 1104588 KS
Physical Therapist 225100000X 2013014792 MO Primary

Addresses

Primary practice location

621 Westover Rd
Kansas City, MO 64113-1119

Mailing address

621 Westover Rd
Kansas City, MO 64113-1119
Phone (917) 697-6668

Other identifiers 2

IdentifierTypeStateIssuer
093575100MedicaidMD
201355120MedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20201228002144 MO Practitioner - Physical Therapist in Private Practice 6002229622 Reassigns benefits to 1 organization
I20220317001178 KS Practitioner - Physical Therapist in Private Practice 6002229622 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Kansas City, MO 64113
Phone (816) 200-2838

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070.015443ILMDPhysical Therapist
1104588KSMDPhysical Therapist
1173909TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Function Forward Physical Therapy LLC Physical Therapist CurrentSince Nov 16, 2020 Accepting new patients

Organizations & group practices 1

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": "1190160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642291200000",
    "number": "1801082243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 WESTOVER RD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641131119",
            "telephone_number": "917-697-6668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 WESTOVER RD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641131119",
            "telephone_number": "917-697-6668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABELSON",
        "first_name": "LAUREN",
        "middle_name": "ELIZABETH",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-19",
        "last_updated": "2022-01-16",
        "certification_date": "2022-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1173909",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "22497",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.015443",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "1104588",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2013014792",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "093575100",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201355120",
            "state": "KS"
        }
    ],
    "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 Jan 16, 2022; 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.