NPIMap

Organization Active NPI

Marquette Physical Therapy, P.a.

  • Physical Therapist
  • Leawood, KS
National Provider Identifier
1861571366
Registry record updated Apr 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11-02826 Issued in KS
Legal business name
MARQUETTE PHYSICAL THERAPY, P.A.
Practice address
13402 Briar Dr
Suite C
Leawood, KS 66209-3434
Phone
(913) 484-7632
Fax
(913) 808-5460
NPI assigned
Nov 3, 2006
Last updated
Apr 5, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2021

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

Authorized official

Name
Mr. Gerald Joseph Marquette III, P.T.NPI 1023128030
Title
Owner
Phone
(913) 484-7632

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 11-02826 KS Primary

Addresses

Primary practice location

13402 Briar Dr
Suite C
Leawood, KS 66209-3434

Mailing address

13420 Briar Dr Ste C
Leawood, KS 66209-3434
Phone (913) 484-7632

Other identifiers 4

IdentifierTypeStateIssuer
1861571366OtherKSNPPES
37587011OtherKSBCBSKC
1023128030OtherKSINDIVIDUAL NPI NUMBER
860644OtherKSBCBS

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL www.marquettept.com Other

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070125000157 KS Part B Supplier - Physical/Occupational Therapy Group in Private Practice 2961403498 Receives reassigned benefits from 10 practitioners
Practice locations: De Soto, KS; Leawood, KS

National Provider Directory

National Provider Directory

Locations

33255 Lexington Ave
Ste A
De Soto, KS 66018
Phone (913) 484-7632

13402 Briar Dr
Ste C
Leawood, KS 66209
Phone (913) 484-7632

13420 Briar Dr
Ste C
Leawood, KS 66209
Phone (913) 484-7632

13430 Briar Dr
Ste C
Leawood, KS 66209
Phone (913) 484-7632

6405 Metcalf Ave
Ste 112
Overland Park, KS 66202
Phone (913) 484-7632

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617580800000",
    "number": "1861571366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13420 BRIAR DR STE C",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662093434",
            "telephone_number": "913-484-7632",
            "fax_number": "913-808-5460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13402 BRIAR DR",
            "address_2": "SUITE C",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662093434",
            "telephone_number": "913-484-7632",
            "fax_number": "913-808-5460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARQUETTE PHYSICAL THERAPY, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-03",
        "last_updated": "2021-04-05",
        "certification_date": "2021-04-05",
        "status": "A",
        "authorized_official_last_name": "MARQUETTE",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "913-484-7632",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "11-02826",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1861571366",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSKC",
            "identifier": "37587011",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI NUMBER",
            "identifier": "1023128030",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "860644",
            "state": "KS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.marquettept.com",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "website",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "website",
            "address_1": "13402 Briar Dr",
            "address_2": "Suite C",
            "city": "Leawood",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662093434",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Leawood, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2021; 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.