Individual provider Active NPI

Annahita Z Van Den Berghe, DPT

  • Physical Therapist
  • Olathe, KS
National Provider Identifier
1942491279
Registry record updated Apr 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11-03804 Issued in KS
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

Updated by the provider on Apr 3, 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 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

IdentifierTypeStateIssuer
39074027OtherKSBCBS

Other names 1

  • Annahita Zandiehnadem Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080609000196 KS Practitioner - Physical Therapist in Private Practice 0446320071 Reassigns benefits to 1 organization

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
Arc Physical Therapy Plus LPGroup PAC ID 6204050453, 59 clinicians

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

LicenseStateTypeSpecialty
2007022415MOMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Arc Physical Therapy Plus LP Physical Therapist CurrentSince Mar 18, 2023 Accepting new patients
Arc Physical Therapy Plus LP CurrentSince Mar 18, 2023 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.

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.

Verify at the official NPI Registry.