Active NPI
Kristen Michelle Matthews, DPT
- Physical Therapist
- Merriam, KS
National Provider Identifier
1922381102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2010039345
- Practice address
- 6700 Antioch
Suite 120
Merriam, KS 66204 - Phone
- (913) 652-9198
- NPI assigned
- Sep 23, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2010039345 | MO | Primary |
| Physical Therapist | 225100000X | 11-04231 | KS |
Addresses
Primary practice location
6700 Antioch
Suite 120
Merriam, KS 66204
Mailing address
127 W 10TH St
#410
Kansas City, MO 64105-1761
Phone (785) 341-5630
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
| License | State | Type | Specialty |
|---|---|---|---|
| 11-04231 | KS | MD | Physical Therapist |
| 2010039345 | MO | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316736000000",
"number": "1922381102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "127 W 10TH ST",
"address_2": "#410",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641051761",
"telephone_number": "785-341-5630"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6700 ANTIOCH",
"address_2": "SUITE 120",
"city": "MERRIAM",
"state": "KS",
"postal_code": "66204",
"telephone_number": "913-652-9198"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATTHEWS",
"first_name": "KRISTEN",
"middle_name": "MICHELLE",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-23",
"last_updated": "2011-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MO",
"license": "2010039345",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KS",
"license": "11-04231",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Merriam, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.