Mary Lucille Bajich, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

11-07840 Issued in KS

Practice address

23351 Prairie Star Pkwy Ste A125
Lenexa, KS 66227-7303

Phone

(913) 676-8610

NPI assigned

Aug 29, 2025

Last updated

Aug 29, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Shawnee Mission Medical Center, Inc.

  dba AdventHealth Imaging Center Roeland Park

  • Radiology Clinic/Center
  • Roeland Park, KS
  • NPI 1578178521
  NPD (past)

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

{
    "created_epoch": "1756425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756425600000",
    "number": "1821977208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11251 S SUMMIT ST APT 2302",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "662154337",
            "telephone_number": "913-439-0567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23351 PRAIRIE STAR PKWY STE A125",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662277303",
            "telephone_number": "913-676-8610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAJICH",
        "first_name": "MARY",
        "middle_name": "LUCILLE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-29",
        "last_updated": "2025-08-29",
        "certification_date": "2025-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "11-07840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mitchell A Ayers, MD
• Amanda Azan, DDS
• Katherine Babbit
• Brandey Bailey-Mack
• Martha Baird, ARNP
• Kayla Balcom
• Josel Balino, MSN, APRN, FNP-C
• Kelly Thomas Baltuska, D.C.
• Paige Barbeau
• Crystal Dawn Barfoot, LICSW

• Physical Therapist in Lenexa, KS
• Providers in Lenexa, KS by specialty
• Physical Therapist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2025; 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.