Individual provider Active NPI

Taylor Marie Neilson, PT, DPT

  • Physical Therapist
  • Leawood, KS
National Provider Identifier
1922544006
Registry record updated Apr 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11-05804 Issued in KS
Practice address
12728 State Line Rd
Leawood, KS 66209-1619
Phone
(913) 888-0014
NPI assigned
Jan 12, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2017003424 MO
Physical Therapist 225100000X 11-05804 KS Primary

Addresses

Primary practice location

12728 State Line Rd
Leawood, KS 66209-1619

Mailing address

12728 State Line Rd
Leawood, KS 66209-1619
Phone (913) 888-0014

Other names 1

  • Taylor Marie Kaul Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170213000381 MO Practitioner - Physical Therapist in Private Practice 0042593352 Reassigns benefits to 1 organization
I20171130001459 KS Practitioner - Physical Therapist in Private Practice 0042593352 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
Preferred PT LLCGroup PAC ID 9436447422, shared by 2 NPIs, 48 clinicians

Practice addresses (Care Compare)

373 W 101St Ter
220 Preferred PT Wornall
Kansas City, MO 64114-4408
Phone (816) 489-4161

8437 State Ave
Suite B
Kansas City, KS 66112-1851
Phone (913) 299-9616

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11-05804KSMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Preferred PT LLC Physical Therapist CurrentSince Sep 30, 2024 Accepting new patients
Preferred PT, LLC Physical Therapist CurrentSince Sep 30, 2024 Accepting new patients
Preferred PT, LLC Physical Therapist CurrentSince Sep 30, 2024 Accepting new patients
Preferred PT LLC Physical Therapist Current Accepting new patients

Locations

8437 State Ave
Ste B
Kansas City, KS 66112
Phone (913) 299-9616

12728 State Line Rd
Leawood, KS 66209
Phone (816) 941-2550

8550 Marshall Dr
Ste 210
Overland Park, KS 66214
Phone (913) 492-0333

1650 Lyndon Farm Ct
Ste 300
Louisville, KY 40223
Phone (726) 202-3039

373 W 101st Ter
Ste 220
Kansas City, MO 64114
Phone (816) 489-4161

101 NW Englewood Rd
Ste 110
Kansas City, MO 64118
Phone (816) 413-0900

Organizations & group practices 4

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": "1484179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682553600000",
    "number": "1922544006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12728 STATE LINE RD",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662091619",
            "telephone_number": "913-888-0014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12728 STATE LINE RD",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662091619",
            "telephone_number": "913-888-0014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEILSON",
        "first_name": "TAYLOR",
        "middle_name": "MARIE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-12",
        "last_updated": "2023-04-27",
        "certification_date": "2023-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2017003424",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "11-05804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAYLOR",
            "last_name": "KAUL",
            "middle_name": "MARIE",
            "credential": "PT, DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 27, 2023; 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.