Active NPI
Annahita Z Van Den Berghe, DPT
- Physical Therapist
- Olathe, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11-03804
- Practice address
- 15455 S Rogers Rd
Olathe, KS 66062-3497 - Phone
- (913) 254-0568
- Fax
- (913) 254-0854
- NPI assigned
- Aug 1, 2007
- 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 | 2007022415 | MO | |
| Physical Therapist | 225100000X | 11-03804 | KS | Primary |
Addresses
Primary practice location
15455 S Rogers Rd
Olathe, KS 66062-3497
Mailing address
8434 Ward Pkwy
Kansas City, MO 64114-2031
Phone (816) 237-1926
Other practice location 1
8434 Ward Pkwy
Kansas City, MO 64114-2031
Phone (816) 237-1926
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 39074027 | Other | KS | BCBS |
Other names 1
- Annahita Zandiehnadem
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6362 College Blvd
Overland Park, KS 66211-1506
Phone (913) 754-0888
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2007022415 | MO | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arc Physical Therapy Plus LP | Physical Therapist | Current | Accepting new patients |
| Arc Physical Therapy Plus LP | Current | Accepting new patients |
Locations
15455 S Rogers Rd
Olathe, KS 66062
Phone (913) 254-0568
6400 Glenwood St
Ste 111
Overland Park, KS 66202
Phone (877) 344-2721
6362 College Blvd
Overland Park, KS 66211
Phone (913) 663-2555
5404 N Antioch Rd
Kansas City, MO 64119
Phone (816) 454-5818
Organizations & group practices 2
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.
-
- Physical Therapist
- Overland Park, KS
- NPI 1851715353
-
- Durable Medical Equipment & Medical Supplies
- Kansas City, MO
- NPI 1568180545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680480000000",
"number": "1942491279",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8434 WARD PKWY",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641142031",
"telephone_number": "816-237-1926",
"fax_number": "816-237-1983"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15455 S ROGERS RD",
"city": "OLATHE",
"state": "KS",
"postal_code": "660623497",
"telephone_number": "913-254-0568",
"fax_number": "913-254-0854"
}
],
"practiceLocations": [
{
"address_1": "8434 Ward Pkwy",
"address_purpose": "LOCATION",
"city": "Kansas City",
"state": "MO",
"postal_code": "641142031",
"country_code": "US",
"telephone_number": "816-237-1926",
"fax_number": "816-237-1983",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VAN DEN BERGHE",
"first_name": "ANNAHITA",
"middle_name": "Z",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-01",
"last_updated": "2023-04-03",
"certification_date": "2023-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MO",
"license": "2007022415",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KS",
"license": "11-03804",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "39074027",
"state": "KS"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ANNAHITA",
"last_name": "ZANDIEHNADEM",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Olathe, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 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.