Individual provider Active NPI

Kendra Ann Heller, PT

  • Physical Therapist
  • Topeka, KS
National Provider Identifier
1861838815
Registry record updated Aug 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1104638 Issued in KS
Practice address
4505 NW Fielding Rd
Topeka, KS 66618-2651
Phone
(785) 270-0080
Fax
(785) 270-0001
NPI assigned
May 17, 2013
Last updated
Aug 29, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2022

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 1104638 KS Primary

Addresses

Primary practice location

4505 NW Fielding Rd
Topeka, KS 66618-2651

Mailing address

4505 NW Fielding Rd
Topeka, KS 66618-2651
Phone (785) 270-0080

Other practice location 1

2660 SW 3rd St
Topeka, KS 66606-2442
Phone (785) 354-6116

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1104638KSMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced PT, LLC PastSince Apr 18, 2017 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1368748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661731200000",
    "number": "1861838815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4505 NW FIELDING RD",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666182651",
            "telephone_number": "785-270-0080",
            "fax_number": "785-270-0001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4505 NW FIELDING RD",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666182651",
            "telephone_number": "785-270-0080",
            "fax_number": "785-270-0001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2660 SW 3rd St",
            "address_purpose": "LOCATION",
            "city": "Topeka",
            "state": "KS",
            "postal_code": "666062442",
            "country_code": "US",
            "telephone_number": "785-354-6116",
            "fax_number": "785-354-5166",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HELLER",
        "first_name": "KENDRA",
        "middle_name": "ANN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-17",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "1104638",
            "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 Aug 29, 2022; 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.