Individual provider Active NPI

Kathryn Eleanor Wagenheim, PT, DPT

  • Physical Therapist
  • Overland Park, KS
National Provider Identifier
1992612378
Registry record updated Aug 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11-08238 Issued in KS
Practice address
7279 W 105TH St
Overland Park, KS 66212-2515
Phone
(913) 642-7746
NPI assigned
Aug 24, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 11-08238 KS Primary

Addresses

Primary practice location

7279 W 105TH St
Overland Park, KS 66212-2515

Mailing address

7279 W 105TH St
Overland Park, KS 66212-2515
Phone (913) 642-7746

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1787529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787529600000",
    "number": "1992612378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7279 W 105TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662122515",
            "telephone_number": "913-642-7746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7279 W 105TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662122515",
            "telephone_number": "913-642-7746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGENHEIM",
        "first_name": "KATHRYN",
        "middle_name": "ELEANOR",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-08-24",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "11-08238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.