NPIMap

Organization Active NPI

Pam Carney PT LLC

  • Physical Therapist
  • Shawnee, KS
National Provider Identifier
1841452943
Registry record updated Jan 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1102764 Issued in KS
Legal business name
PAM CARNEY PT LLC
Practice address
18315 Midland Dr
Shawnee, KS 66218-9024
Phone
(913) 631-5749
Fax
(913) 962-0355
NPI assigned
Jun 30, 2008
Last updated
Jan 28, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2025

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

Authorized official

Name
Ms. Pamela Anne Carney, PTNPI 1437166287
Title
Physical Therapist
Phone
(913) 631-5749

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X NU
Physical Therapist 225100000X 1102764 KS Primary

Addresses

Primary practice location

18315 Midland Dr
Shawnee, KS 66218-9024

Mailing address

18315 Midland Dr
Shawnee, KS 66218-9024
Phone (913) 631-5749

Other identifiers 1

IdentifierTypeStateIssuer
35426011OtherKSBLUE CROSS BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081004000075 KS Part B Supplier - Clinic/Group Practice 8123196177 Practice locations: Prairie Village, KS

National Provider Directory

National Provider Directory

Locations

6700 W 121st St
Ste 102
Overland Park, KS 66209
Phone (913) 631-5749

6701 W 121st St
Ste 320
Overland Park, KS 66209
Phone (913) 631-5749

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1214784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738022400000",
    "number": "1841452943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18315 MIDLAND DR",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662189024",
            "telephone_number": "913-631-5749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18315 MIDLAND DR",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662189024",
            "telephone_number": "913-631-5749",
            "fax_number": "913-962-0355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAM CARNEY PT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-30",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A",
        "authorized_official_last_name": "CARNEY",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "913-631-5749",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "1102764",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "35426011",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shawnee, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 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.