DR. MCKAYLA KNUDSON DPT
NPI 1013533702
Physical Therapist in Olathe, KS

Active since June 18, 2020
12452 S GALLERY ST, OLATHE, KS 66062(913) 399-6707(816) 600-0349 Get Directions Write a Review

NPPES record last updated: January 4, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 4, 2024, Jun 18, 2020 (2 updates tracked since 2020).

About Dr. Mckayla Knudson Dpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MCKAYLA KNUDSON DPT (NPI 1013533702) is an individual physical therapist in Olathe, Kansas, licensed in Kansas (11-06088) and active in the NPI registry since June 2020.

NPPES Registry Identity

NPI1013533702
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameDR. MCKAYLA KNUDSONCredential: DPT
Location Address12452 S GALLERY STOlathe, KS 66062-6096
Mailing Address12452 S Gallery StOlathe, KS 66062-6096 · (913) 399-6707 · Fax (816) 600-0349
Fax(816) 600-0349
Sole ProprietorNo
Enumeration DateJune 18, 2020
Last NPPES UpdateJanuary 4, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 4, 2024
✔ NPI 1013533702 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License✔ Licensed in KS · 11-06088
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
12452 S GALLERY ST, Olathe, KS 66062

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mckayla Knudson Dpt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Mckayla Knudson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Physical Therapist
608 N WINNEBAGO DR
Lake Winnebago, MO 64034
  • Reassigned Medicare billing, Kansas enrollment
  • 5 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 97112
This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.
178 services11 patients

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mckayla Knudson's NPI number?

The NPI number for Mckayla Knudson is 1013533702. It was assigned to this individual provider in the NPPES registry on June 18, 2020.

Where is Mckayla Knudson located?

Mckayla Knudson practices at 12452 S Gallery St, Olathe, KS 66062. The listed phone number is (913) 399-6707.

What is Mckayla Knudson's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Mckayla Knudson enrolled in Medicare?

Yes. Mckayla Knudson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mckayla Knudson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mckayla Knudson reassigns Medicare benefits to Full Range Mobile Pt, LLC (Lake Winnebago, MO). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mckayla Knudson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mckayla Knudson was last updated on January 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.