KELLI L HAGEN (NPI# 1457589731) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1457589731 |
Entity Type | Individual |
Full Name | KELLI L HAGEN |
Other Name | KELLI L WONG |
Credential | DPT |
Practice Address |
8550 Marshall Dr Ste 100 Lenexa KS 66214-1505 |
Practice Telephone | 9138941500 |
Practice Fax Number | 9136470295 |
Mailing Telephone | 9138941500 |
Mailing Fax Number | 9136470295 |
Enumeration Date | 2009-06-25 |
Last Update Date | 2016-04-26 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2251N0400X |
Physical Therapist Specialization: Neurology |
11-03982 | KS | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MEDICARE RAILROAD | P00975021 | 01 | |
BLUECROSS BLUE SHEILD KC | 42826014 | 01 |
Street Address |
8550 MARSHALL DR STE 100 |
City | LENEXA |
State | KS |
Zip Code | 66214-1505 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396740916 | Dana M Winegarner | Psychiatry & Neurology | 8550 Marshall Dr, Ste 100, Lenexa, KS 66214-1505 | 2005-06-20 |
1801246145 | Ethan Gechter | Physical Therapist | 8550 Marshall Dr, Ste 210, Lenexa, KS 66214-1505 | 2016-06-17 |
1861862716 | Jennifer Schultz | Physical Therapist | 8550 Marshall Dr, Ste 210, Lenexa, KS 66214-1505 | 2015-10-05 |
1982086005 | Elise Umbarger | Physical Therapist | 8550 Marshall Dr, Ste 210, Lenexa, KS 66214-1505 | 2015-06-25 |
1609255124 | Alexa Heier | Physical Therapist | 8550 Marshall Dr, Ste 210, Lenexa, KS 66214-1505 | 2015-05-29 |
1184029274 | Lindsay Pierson | Physical Therapist | 8550 Marshall Dr, Ste 210, Lenexa, KS 66214-1505 | 2014-10-31 |
1407279813 | Amelia B Winsby | Clinical Neuropsychologist | 8550 Marshall Dr, Ste 100, Lenexa, KS 66214-1505 | 2014-01-22 |
1528304904 | Amy M Ellis | Occupational Therapist | 8550 Marshall Dr, Ste 210, Lenexa, KS 66214-1505 | 2012-12-12 |
1295079358 | Advanced Medical Dme, LLC | Durable Medical Equipment & Medical Supplies | 8550 Marshall Dr, Suite 127, Lenexa, KS 66214-1505 | 2012-11-15 |
1982952271 | Smart Hearing and Balance of Lenexa, LLC | Audiologist | 8550 Marshall Dr, Suite 120, Lenexa, KS 66214-1505 | 2012-08-17 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871145532 | Sparkling Fountain of Love Adult Care Homes | Meals | 8525 Switzer Road, Overlandpark, KS 66214 | 2019-07-12 |
1295259174 | Chelsea Leigh Nettle | Specialist/Technologist | 9111 Barton, Overland Park, KS 66214 | 2017-08-01 |
1548707177 | Rita M Burnett Dds Mobile LLC | Dentist | 8367 Nieman Rd, Lenexa, KS 66214 | 2017-01-20 |
1760843346 | Pride Care Medical Equipment and Mobility LLC | Durable Medical Equipment & Medical Supplies | 11759 W 86th Ter, Lenexa, KS 66214 | 2016-03-10 |
1861864381 | Melanie Ellsworth | Specialist/Technologist | 10533 Goddard Street, Apt 331, Overland Park, KS 66214 | 2015-10-23 |
1043618135 | Heartland Medical, LLC | Pharmacy | 7955 Flint Street, Lenexa, KS 66214 | 2014-12-05 |
1912241902 | Laura Elizabeth Ponce | Acupuncturist | 7410 Switzer Rd., Shawnee, KS 66214 | 2012-11-15 |
1154563732 | Megan Elizabeth Hutchinson Frazier | Occupational Therapist | 10300 W. 103rd St., Suite 300, Quantum Health Professionals, Overland Park, KS 66214 | 2009-03-30 |
1205078151 | Kortney Marie Cuddigan | Occupational Therapist | 10300 West 103rd Street, Suite 300, Overaland Park, KS 66214 | 2009-03-24 |
1114174158 | Michelle Renee Neher | Speech-Language Pathologist | 10300 W 103rd Street, Suite 300, Overland Park, KS 66214 | 2008-08-21 |
Find all providers in zip 66214 |
Taxonomy Code | 2251N0400X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Physical Therapist |
Specialization | Neurology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669807426 | Darcie L James | Physical Therapist | 8550 Marshall Dr Ste 100, Lenexa, KS 66214-9836 | 2013-09-11 |
1063604189 | Amy L Nichols | Physical Therapist | 8550 Marshall Dr, Suite 100, Lenexa, KS 66214-1505 | 2007-08-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972882280 | Jason Lee Rucker | Physical Therapist | 3901 Rainbow Blvd, Mail Stop 2002, Kansas City, KS 66103-2937 | 2011-08-04 |
1326271644 | Marissa Everly Clark | Physical Therapist | 3115 W 6th St Ste B, Lawrence, KS 66049-3150 | 2009-09-02 |
1558558411 | Diana Christine Torline | Physical Therapist | 600 Medical Center Drive, Newton, KS 67114-0308 | 2007-09-25 |
1962592741 | Balance & Neurological Rehabilitation | Physical Therapist | 12000 W 110th St, Suite 400, Overland Park, KS 66210-3938 | 2006-10-13 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.