Tra Brendon Statler, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2025017758 Issued in MO

Practice address

7315 E Frontage Rd Ste 120
Merriam, KS 66204-1658

Phone

(913) 676-2444

NPI assigned

Jun 13, 2025

Last updated

Jun 13, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Shawnee Mission Medical Center, Inc.

  dba AdventHealth Imaging Center Roeland Park

  • Radiology Clinic/Center
  • Roeland Park, KS
  • NPI 1578178521
  NPD (past)

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

{
    "created_epoch": "1749772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749772800000",
    "number": "1912893223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1660 GENESSEE ST UNIT 204",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641021078",
            "telephone_number": "573-579-1430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7315 E FRONTAGE RD STE 120",
            "city": "MERRIAM",
            "state": "KS",
            "postal_code": "662041658",
            "telephone_number": "913-676-2444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STATLER",
        "first_name": "TRA",
        "middle_name": "BRENDON",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-06-13",
        "last_updated": "2025-06-13",
        "certification_date": "2025-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2025017758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vicki Lynn Sparks
• Tiffany Speck
• Joanne Speed, LCMFT
• Jeffrrey Paul Sprinkle, C.O,T.A./L
• Charliey Amber Staab
• Jessica L Stegman, DPT
• Lisa Bierly Steinert, PT
• Cole J Stephens, D.C.
• Kaylee Stephens, DPT
• Nakita Laura Stephens, M.D.

• Physical Therapist in Merriam, KS
• Providers in Merriam, KS by specialty
• Physical Therapist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2025; 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.