NPIMap

Organization Active NPI

Summit Care, LLC

  • Physical Therapist
  • Overland Park, KS
National Provider Identifier
1033441027
Registry record updated Jan 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1103189 Issued in KS
Legal business name
SUMMIT CARE, LLC
Practice address
6731 W 121St St Ste 100
Overland Park, KS 66209-2003
Phone
(913) 239-8777
NPI assigned
Feb 2, 2010
Last updated
Jan 3, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2024

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

Authorized official

Name
Brett A. Parise, D.C.
Title
President
Phone
(913) 239-8777

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1103189 KS Primary
Occupational Therapist 225X00000X 1702383 KS
Speech-Language Pathologist 235Z00000X 2075 KS

Addresses

Primary practice location

6731 W 121St St Ste 100
Overland Park, KS 66209-2003

Mailing address

6731 W 121St St Ste 100
Overland Park, KS 66209-2003
Phone (913) 239-8777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, IA, MO3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20171220001207 KS Part B Supplier - Clinic/Group Practice 7315073954 Receives reassigned benefits from 6 practitioners
Practice locations: Goddard, KS
O20210412001391 IA Part B Supplier - Clinic/Group Practice 7315073954 Receives reassigned benefits from 4 practitioners
Practice locations: Cedar Rapids, IA; West Des Moines, IA
O20241030004092 MO Part B Supplier - Physical/Occupational Therapy Group in Private Practice 7315073954 Receives reassigned benefits from 4 practitioners
Practice locations: Gladstone, MO; Lees Summit, MO

National Provider Directory

National Provider Directory

Locations

6830 W 121st Ct
Overland Park, KS 66209
Phone (913) 239-8777

Ownership & related parties

All facility ownership & control disclosures 8

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Kennybrook VillageGrimes, IA, CCN 165605 Skilled nursing facility Adp of the SNF Mar 16, 2012
Prairie Vista VillageAltoona, IA, CCN 165610 Skilled nursing facility Adp of the SNF Jul 1, 2014
Northridge VillageAmes, IA, CCN 165613 Skilled nursing facility Adp of the SNF Sep 1, 2015
Linden Woods VillageGladstone, MO, CCN 265855 Skilled nursing facility Adp of the SNF Jun 1, 2016
Westchester Village of LenexaLenexa, KS, CCN 175536 Skilled nursing facility Adp of the SNF Dec 16, 2017
Terrace Glen VillageMarion, IA, CCN 165625 Skilled nursing facility Adp of the SNF Nov 1, 2018
Colonial VillageOverland Park, KS, CCN 175560 Skilled nursing facility Adp of the SNF Dec 1, 2018
Cedar Ridge VillageWest Des Moines, IA, CCN 165790 Skilled nursing facility Adp of the SNF Apr 1, 2021

Owned or controlled facilities with NPI records 8

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Subparts reporting this organization as parent 9

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 44

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 44

NPI Registry JSON

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

{
    "created_epoch": "1265068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704240000000",
    "number": "1033441027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6731 W 121ST ST STE 100",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662092003",
            "telephone_number": "913-239-8777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6731 W 121ST ST STE 100",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662092003",
            "telephone_number": "913-239-8777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-02",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A",
        "authorized_official_last_name": "PARISE",
        "authorized_official_first_name": "BRETT",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "913-239-8777",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "1103189",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "KS",
            "license": "1702383",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KS",
            "license": "2075",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

Verify at the official NPI Registry.