Individual provider Active NPI

Patnakon Kevin Sonthana, DPT

  • Orthopedic Physical Therapist
  • Lee's Summit, MO
National Provider Identifier
1023499118
Registry record updated Jun 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
2015018339 Issued in MO
Practice address
1254 SE Century Dr
Lees Summit, MO 64081-3286
Phone
(816) 524-1442
Fax
(816) 524-1445
NPI assigned
Jun 15, 2015
Last updated
Jun 15, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 2015018339 MO Primary

Addresses

Primary practice location

1254 SE Century Dr
Lees Summit, MO 64081-3286

Mailing address

1254 SE Century Dr
Lees Summit, MO 64081-3286
Phone (816) 524-1441

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

NPI Registry JSON

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

{
    "created_epoch": "1434326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434326400000",
    "number": "1023499118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1254 SE CENTURY DR",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640813286",
            "telephone_number": "816-524-1441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1254 SE CENTURY DR",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640813286",
            "telephone_number": "816-524-1442",
            "fax_number": "816-524-1445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SONTHANA",
        "first_name": "PATNAKON",
        "middle_name": "KEVIN",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-15",
        "last_updated": "2015-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "MO",
            "license": "2015018339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lee's Summit, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2015; 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.