Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Vasiliy Birdsong

Individual provider Physical Therapist · NPI 1932888724

Vasiliy Birdsong is a Physical Therapist in Private Practice in Lees Summit, Missouri. Qualified in 2022, 4 years ago. Practices with Serc Rebabilitation Partners, LLC, a 211-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
4
Licensed in
MO
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

869 SW Lemans Ln
Lees Summit, MO 64082-4618
Phone: (816) 537-3181
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 2022030860 (MO)
Physical Therapist Taxonomy 225100000X · Licence 2022024058 (MO)

Record details

NPI number1932888724
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 18, 2023
Last updated in NPPESJuly 18, 2023
Certification dateJuly 18, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Serc Rebabilitation Partners, Llc — 211 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Lees Summit