OrganizationActive
Kansas City Physical Medicine Center PA
NPI 1366560492 · Physical Medicine & Rehabilitation Physician · Overland Park, KS
Provider details
- NPI number
- 1366560492
- Entity type
- Organization
- Primary specialty
- Physical Medicine & Rehabilitation PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Ira Fishman, Doctor(913) 341-0090
- License
- 05-23842 (KS)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
10520 Barkley St
Ste 120
Overland Park, KS 66212-1811
Phone: (913) 341-0090
Fax: (913) 341-0091
Street-level locationGet directions
Mailing address
10520 Barkley St
Overland Park, KS 66212-1811
Registry dates
- Enumerated
- 2007-03-27
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.