Individual provider Active NPI

Susan Christensen

  • Physical Therapist
  • Overland Park, KS
National Provider Identifier
1871042929
Registry record updated Oct 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
13552-24 Issued in WI
Practice address
10880 Benson Dr Ste 2370
Overland Park, KS 66210-1599
Phone
(816) 379-6899
Fax
(816) 817-0034
NPI assigned
Sep 30, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2024

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 13552-24 WI Primary

Addresses

Primary practice location

10880 Benson Dr Ste 2370
Overland Park, KS 66210-1599

Mailing address

10880 Benson Dr Ste 2370
Overland Park, KS 66210-1599
Phone (163) 796-8998

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241115002441 KS Practitioner - Physical Therapist in Private Practice 5698059475 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kinesphere Physical Therapy LLCGroup PAC ID 0547527608, 5 clinicians

Practice addresses (Care Compare)

10880 Benson Dr
Suite 2370
Overland Park, KS 66210-1599
Phone (816) 379-6899

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13552-24WIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kinesphere Physical Therapy LLC Physical Therapist CurrentSince Oct 15, 2024 Accepting new patients

Locations

10880 Benson Dr
Ste 2370
Overland Park, KS 66210
Phone (816) 379-6899

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1475193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728604800000",
    "number": "1871042929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10880 BENSON DR STE 2370",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662101599",
            "telephone_number": "163-796-8998",
            "fax_number": "816-817-0034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10880 BENSON DR STE 2370",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662101599",
            "telephone_number": "816-379-6899",
            "fax_number": "816-817-0034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTENSEN",
        "first_name": "SUSAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-30",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "13552-24",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2024; 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.