Individual provider Active NPI

Brett Thompson

  • Physical Therapist
  • Lees Summit, MO
National Provider Identifier
1932356938
Registry record updated Aug 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2008025546 Issued in MO
Practice address
506 NE 291 Hwy
Lees Summit, MO 64086-2533
Phone
(816) 246-4054
Fax
(816) 246-5956
NPI assigned
Aug 20, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2008

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 2008025546 MO Primary

Addresses

Primary practice location

506 NE 291 Hwy
Lees Summit, MO 64086-2533

Mailing address

506 NE 291 Hwy
Lees Summit, MO 64086-2533
Phone (816) 246-4054

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170307002690 KS Practitioner - Physical Therapist in Private Practice 8527289081 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2008025546MOMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Select Physical Therapy Holdings, Inc. CurrentSince Mar 5, 2025 Accepting new patients
Select Physical Therapy Holdings, Inc. Physical Therapist Current Accepting new patients
Select Physical Therapy Holdings Inc PastSince Oct 27, 2014 Accepting new patients

Locations

5922 Barkley St
Mission, KS 66202
Phone (913) 229-9440

Organizations & group practices 3

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": "1219190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219190400000",
    "number": "1932356938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 NE 291 HWY",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640862533",
            "telephone_number": "816-246-4054",
            "fax_number": "816-246-5956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 NE 291 HWY",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640862533",
            "telephone_number": "816-246-4054",
            "fax_number": "816-246-5956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "BRETT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-20",
        "last_updated": "2008-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2008025546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lees Summit, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.