Individual provider Active NPI

Kevin Williams, DPT

  • Physical Therapist
  • Topeka, KS
National Provider Identifier
1861054876
Registry record updated Mar 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1106227 Issued in KS
Practice address
4015 SW Gage Center Dr
Topeka, KS 66604-1831
Phone
(785) 273-1379
NPI assigned
Jul 1, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2021

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 1106227 KS Primary

Addresses

Primary practice location

4015 SW Gage Center Dr
Topeka, KS 66604-1831

Mailing address

PO Box 219297
Kansas City, MO 64121-9297

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, WA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210415001087 MO Practitioner - Physical Therapist in Private Practice 4688901275 Reassigns benefits to 1 organization
I20240930001399 WA Practitioner - Physical Therapist in Private Practice 4688901275 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Whatcom Physical Therapy Inc PSGroup PAC ID 4688644420, 5 clinicians

Practice addresses (Care Compare)

5709 Hamlin Ave
Ferndale, WA 98248-9210
Phone (360) 384-5171

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Whatcom Physical Therapy Inc PS Physical Therapist CurrentSince Oct 21, 2024 Accepting new patients
Arc Physical Therapy Plus LP CurrentSince Mar 31, 2021 Accepting new patients
Specialists in Sports and Orthopedic Rehabilitation LLC Physical Therapist CurrentSince Jun 21, 2019 Accepting new patients
Arc Physical Therapy Plus LP Physical Therapist CurrentSince Mar 31, 2021 Accepting new patients

Locations

15455 S Rogers Rd
Olathe, KS 66062
Phone (913) 254-0568

7381 W 133rd St
Ste 302
Overland Park, KS 66213
Phone (913) 904-1128

4015 SW Gage Center Dr
Topeka, KS 66604
Phone (785) 273-1047

607 Dewey Ave NW
Ste 300
Grand Rapids, MI 49504
Phone (253) 332-3398

609 E Platte Clay Way
Ste B
Cameron, MO 64429
Phone (816) 632-3221

527 N State Route 291
Ste A
Liberty, MO 64068
Phone (816) 792-0849

1711 W Battlefield St
Ste Q
Springfield, MO 65807
Phone (417) 799-3377

250 G St
Blaine, WA 98230
Phone (360) 332-8167

Organizations & group practices 4

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": "1561939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616025600000",
    "number": "1861054876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 219297",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641219297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4015 SW GAGE CENTER DR",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666041831",
            "telephone_number": "785-273-1379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "KEVIN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-01",
        "last_updated": "2021-03-18",
        "certification_date": "2021-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "1106227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Topeka, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2021; 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.