Individual provider Active NPI

Kelly Rae Isabell, PTA

  • Physical Therapy Assistant
  • North Kansas City, MO
National Provider Identifier
1982697017
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
2005032620 Issued in MO
Practice address
2100 Swift Ave
North Kansas City, MO 64116-3426
Phone
(816) 474-8877
Fax
(816) 474-8878
NPI assigned
Aug 24, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 2005032620 MO Primary

Addresses

Primary practice location

2100 Swift Ave
North Kansas City, MO 64116-3426

Mailing address

8109 N Hickory St
Apt 226
Kansas City, MO 64118
Phone (816) 213-7981

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
2005032620MOMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Northland Physical Therapy & Rehab Services, Inc PastSince Jun 1, 2004 Accepting new patients

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": "1124841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982697017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8109 N HICKORY ST",
            "address_2": "APT 226",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "64118",
            "telephone_number": "816-213-7981",
            "fax_number": "816-415-8270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 SWIFT AVE",
            "city": "NORTH KANSAS CITY",
            "state": "MO",
            "postal_code": "641163426",
            "telephone_number": "816-474-8877",
            "fax_number": "816-474-8878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISABELL",
        "first_name": "KELLY",
        "middle_name": "RAE",
        "name_prefix": "Ms.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MO",
            "license": "2005032620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Kansas City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.