Individual provider Active NPI

Kona Malee Vang Her, PTA

  • Physical Therapy Assistant
  • Mission, KS
National Provider Identifier
1962683102
Registry record updated Oct 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
14-01898 Issued in KS
Practice address
5799 Broadmoor St
Suite 300
Mission, KS 66202-2403
Phone
(913) 384-5600
Fax
(913) 384-0719
NPI assigned
Nov 15, 2007
Last updated
Oct 9, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 14-01898 KS Primary

Addresses

Primary practice location

5799 Broadmoor St
Suite 300
Mission, KS 66202-2403

Mailing address

5799 Broadmoor St
Suite 300
Mission, KS 66202-2403
Phone (913) 384-5600

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
14-01898KSMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1195084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349740800000",
    "number": "1962683102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5799 BROADMOOR ST",
            "address_2": "SUITE 300",
            "city": "MISSION",
            "state": "KS",
            "postal_code": "662022403",
            "telephone_number": "913-384-5600",
            "fax_number": "913-384-0719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5799 BROADMOOR ST",
            "address_2": "SUITE 300",
            "city": "MISSION",
            "state": "KS",
            "postal_code": "662022403",
            "telephone_number": "913-384-5600",
            "fax_number": "913-384-0719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANG HER",
        "first_name": "KONA",
        "middle_name": "MALEE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-15",
        "last_updated": "2012-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "KS",
            "license": "14-01898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2012; 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.