Individual provider Active NPI

Andrea M Wattree, RPT

  • Physical Therapist
  • Shawnee Mission, KS
National Provider Identifier
1932228384
Registry record updated Sep 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2004003801 Issued in MO
Practice address
10000 W 75TH St
Suite 121
Shawnee Mission, KS 66204-2219
Phone
(913) 362-7518
NPI assigned
Mar 28, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2007

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 2004003801 MO Primary
Physical Therapist 225100000X 11-03377 KS

Addresses

Primary practice location

10000 W 75TH St
Suite 121
Shawnee Mission, KS 66204-2219

Mailing address

8208 Spring Valley Rd
Belton, MO 64012-2266
Phone (816) 729-2338

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
11-03377KSMDPhysical Therapist
2004003801MOMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189987200000",
    "number": "1932228384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8208 SPRING VALLEY RD",
            "city": "BELTON",
            "state": "MO",
            "postal_code": "640122266",
            "telephone_number": "816-729-2338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10000 W 75TH ST",
            "address_2": "SUITE 121",
            "city": "SHAWNEE MISSION",
            "state": "KS",
            "postal_code": "662042219",
            "telephone_number": "913-362-7518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATTREE",
        "first_name": "ANDREA",
        "middle_name": "M",
        "credential": "RPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-28",
        "last_updated": "2007-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2004003801",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "11-03377",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shawnee Mission, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2007; 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.