Individual provider Active NPI

Mackenzie Caroline Danner, PT

  • Physical Therapist
  • Overland Park, KS
National Provider Identifier
1801381298
Registry record updated Jul 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11-05940 Issued in KS
Practice address
9506 Nall Ave
Overland Park, KS 66207-2950
Phone
(913) 912-1096
Fax
(913) 912-1157
NPI assigned
Jun 27, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2024

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 11-05940 KS Primary

Addresses

Primary practice location

9506 Nall Ave
Overland Park, KS 66207-2950

Mailing address

9506 Nall Ave
Overland Park, KS 66207-2950
Phone (913) 912-1096

Other names 1

  • Mackenzie Caroline Janner Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180731001556 KS Practitioner - Physical Therapist in Private Practice 6608124102 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Laughlin Performance and Physical Therapy LLCGroup PAC ID 7911165527, 7 clinicians

Practice addresses (Care Compare)

9506 Nall Ave
Overland Park, KS 66207-2950
Phone (913) 912-1096

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11-05940KSMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Laughlin Performance & Physical Therapy LLC Physical Therapist CurrentSince Jun 21, 2018 Accepting new patients

Locations

9506 Nall Ave
Overland Park, KS 66207
Phone (913) 912-1096

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1530057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722384000000",
    "number": "1801381298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9506 NALL AVE",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662072950",
            "telephone_number": "913-912-1096",
            "fax_number": "913-912-1157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9506 NALL AVE",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662072950",
            "telephone_number": "913-912-1096",
            "fax_number": "913-912-1157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANNER",
        "first_name": "MACKENZIE",
        "middle_name": "CAROLINE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-27",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "11-05940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MACKENZIE",
            "last_name": "JANNER",
            "middle_name": "CAROLINE",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Overland Park, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.