KELLI L HAGEN


Address: 8550 Marshall Dr, Ste 100, Lenexa, KS 66214-1505
Phone: 9138941500

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
MEDICARE RAILROAD P00975021 01
BLUECROSS BLUE SHEILD KC 42826014 01

Office Location

Street Address 8550 MARSHALL DR
STE 100
City LENEXA
State KS
Zip Code 66214-1505

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 2251N0400X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Physical Therapist
Specialization Neurology

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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

Competitor

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City LENEXA
Zip Code 66214

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Dataset Information

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.

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