DR. TARAH JUDITH AN PHONGSAVATH DPT
NPI 1780422006
Physical Therapist in Kansas City, MO

Active since July 19, 2024
601 E 63RD ST, KANSAS CITY, MO 64110(816) 569-2802(816) 569-5436 Get Directions Write a Review

NPPES record last updated: August 13, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 13, 2024, Jul 19, 2024 (2 updates tracked since 2024).

About Dr. Tarah Judith An Phongsavath Dpt NPPES

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

DR. TARAH JUDITH AN PHONGSAVATH DPT (NPI 1780422006) is an individual physical therapist in Kansas City, Missouri, licensed in Kansas (11-07644) and active in the NPI registry since July 2024. She is a graduate of Other (2024).

NPPES Registry Identity

NPI1780422006
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameDR. TARAH JUDITH AN PHONGSAVATHCredential: DPT
Location Address601 E 63RD STKansas City, MO 64110-3303
Mailing Address24850 W 191st StGardner, KS 66030-9402 · (913) 549-6416
Fax(816) 569-5436
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJuly 19, 2024
Last NPPES UpdateAugust 13, 20242 updates tracked since enumeration
NPPES CertifiedAugust 6, 2024
✔ NPI 1780422006 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 · 11-07644
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.
601 E 63RD ST, Kansas City, MO 64110

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Tarah Judith An Phongsavath Dpt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5890228001
PECOS Enrollment IDI20241026000293

Medicare Billing Reassignment

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

Physical Therapy
601 E 63RD ST # 230
Kansas City, MO 64110
  • Reassigned Medicare billing, Missouri enrollment
  • 16 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.

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 Tarah Phongsavath's NPI number?

The NPI number for Tarah Phongsavath is 1780422006. It was assigned to this individual provider in the NPPES registry on July 19, 2024.

Where is Tarah Phongsavath located?

Tarah Phongsavath practices at 601 E 63rd St, Kansas City, MO 64110. The listed phone number is (816) 569-2802.

What is Tarah Phongsavath's specialty?

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

Is Tarah Phongsavath enrolled in Medicare?

Yes. Tarah Phongsavath is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Tarah Phongsavath's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tarah Phongsavath reassigns Medicare benefits to Foundational Concepts, Inc. (Kansas City, 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 Tarah Phongsavath's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tarah Phongsavath accept?

Health plans from Blue Cross and Blue Shield of Kansas City list Tarah Phongsavath as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tarah Phongsavath was last updated on August 13, 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.