Unknown Individual – Physical Medicine & Rehabilitation Physician, NPI 1255356168

Unknown Individual is a healthcare provider. based in Kansas city, Missouri. specializing in Physical Medicine & Rehabilitation Physician. They hold a License No. 108880 (MO). The NPI Number for Unknown Individual is 1255356168

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1255356168
Phone
(816) 502-8752
Address
901 E 104TH ST # MS 400S
Deactivation Date
23 November 2022
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness75
Years active:0State licenses:2Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 901 E 104TH ST # MS 400S

    KANSAS CITY, MO 641314517

    Phone: (816) 502-8752

    Fax: (816) 932-9670

    Type: Mailing

  • Northeast Saint Luke's Boulevard, Lee's Summit, Jackson County, Missouri, 64065, United States

    LEES SUMMIT, MO 640866011

    Phone: (816) 246-4302

    Fax: (816) 246-8910

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 64131)

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Provider's Procedures

Unknown Individual performs procedures in Physical Medicine & Rehabilitation Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL MEDICINE AND REHABILITATIOMO95910Nerve transmission studies, 7-8 studies1717

Reviews

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Frequently asked questions

What NPI should I save for Unknown Individual?
Save NPI 1255356168 if you need a stable reference for Unknown Individual.
Why would Unknown Individual's listing show inactive?
Inactive in NPPES means the identifier is not currently active in that dataset.
Can you summarize Unknown Individual's specialty in plain language?
Clinically, the directory lists Unknown Individual with Physical Medicine & Rehabilitation Physician. Clinical services aligned with this taxonomy classification.
What location shows for Unknown Individual?
We surface Kansas City, Missouri for Unknown Individual based on available NPPES addresses.
How can I contact Unknown Individual?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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