Individual provider Active NPI

Michelle Claassen, DPT

  • Physical Therapist
  • Leawood, KS
National Provider Identifier
1952828923
Registry record updated Apr 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
13420 Briar Dr Ste C
Leawood, KS 66209-3434
Phone
(913) 484-7632
Fax
(913) 808-5460
NPI assigned
Aug 29, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 11-05621 KS
Physical Therapist 225100000X Primary

Addresses

Primary practice location

13420 Briar Dr Ste C
Leawood, KS 66209-3434

Mailing address

13430 Briar Dr Ste C
Leawood, KS 66209-3411
Phone (913) 484-7632

Other identifiers 1

IdentifierTypeStateIssuer
11-05621OtherKSLICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170921003485 KS Practitioner - Physical Therapist in Private Practice 4688948185 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Marquette Physical Therapy, P.a.Group PAC ID 2961403498, 9 clinicians

Practice addresses (Care Compare)

33255 Lexington Ave
Suite a
De Soto, KS 66018-8615
Phone (913) 585-9844

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Marquette Physical Therapy, P.a. Physical Therapist CurrentSince Aug 28, 2017 Accepting new patients

Locations

33255 Lexington Ave
Ste A
De Soto, KS 66018
Phone (913) 484-7632

13420 Briar Dr
Ste C
Leawood, KS 66209
Phone (913) 484-7632

13430 Briar Dr
Ste C
Leawood, KS 66209
Phone (913) 484-7632

Organizations & group practices 1

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": "1503964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617580800000",
    "number": "1952828923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13430 BRIAR DR STE C",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662093411",
            "telephone_number": "913-484-7632",
            "fax_number": "913-808-5460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13420 BRIAR DR STE C",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662093434",
            "telephone_number": "913-484-7632",
            "fax_number": "913-808-5460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAASSEN",
        "first_name": "MICHELLE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-29",
        "last_updated": "2021-04-05",
        "certification_date": "2021-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "KS",
            "license": "11-05621",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "11-05621",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 5, 2021; 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.