NPIMap

Individual provider Active NPI

Christopher D Kinslow, PT, DC

  • Physical Therapist
  • Weston, MO
National Provider Identifier
1013962950
Registry record updated Nov 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
119374 Issued in MO
Practice address
18215 State RT 45 N
Suite C
Weston, MO 64098
Phone
(816) 812-8262
Fax
(816) 386-9911
NPI assigned
May 22, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 30, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2005032878 MO
Physical Therapist 225100000X 119374 MO Primary

Addresses

Primary practice location

18215 State RT 45 N
Suite C
Weston, MO 64098

Mailing address

208 Walnut Street
Weston, MO 64098
Phone (816) 812-8262

Other identifiers 6

IdentifierTypeStateIssuer
10001822600OtherMOCHP
10001852100OtherMOCHP
693312OtherMOUNITED HEALTH CARE
T80D030OtherMOMEDICARE DC
693016OtherMOUNITED HEALTH CARE
32827028OtherMOBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2005032878MOMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Northland Physical Therapy & Rehab Services, Inc Physical Therapist PastSince Jun 1, 2004 Accepting new patients
KC Chiro, LLC Chiropractor PastSince Nov 8, 2024 Accepting new patients
Spine and Sport Physical Therapy and Rehab Specialists LLC Physical Therapist PastSince Jul 1, 2007 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259539200000",
    "number": "1013962950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 WALNUT STREET",
            "city": "WESTON",
            "state": "MO",
            "postal_code": "64098",
            "telephone_number": "816-812-8262",
            "fax_number": "816-640-0135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18215 STATE RT 45 N",
            "address_2": "SUITE C",
            "city": "WESTON",
            "state": "MO",
            "postal_code": "64098",
            "telephone_number": "816-812-8262",
            "fax_number": "816-386-9911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINSLOW",
        "first_name": "CHRISTOPHER",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "credential": "PT, DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-22",
        "last_updated": "2009-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2005032878",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "119374",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHP",
            "identifier": "10001822600",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHP",
            "identifier": "10001852100",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "693312",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE DC",
            "identifier": "T80D030",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "693016",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "32827028",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Weston, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.