Organization Active NPI

Inspired Body Therapy LLC

  • Physical Therapy Clinic/Center
  • Odessa, MO
National Provider Identifier
1053725812
Registry record updated Oct 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
2011035532 Issued in MO
Legal business name
INSPIRED BODY THERAPY LLC
Practice address
309 Park LN Unit M
Odessa, MO 64076-1676
Phone
(816) 565-2490
NPI assigned
Jun 19, 2014
Last updated
Oct 15, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2024

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

Authorized official

Name
Mr. Richard K Raugewitz, P.T.NPI 1770780173
Title
Owner
Phone
(816) 565-2490

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 2011035532 MO Primary
Occupational Therapy Assistant 224Z00000X NU
Physical Therapist 225100000X NU

Addresses

Primary practice location

309 Park LN Unit M
Odessa, MO 64076-1676

Mailing address

309 Park LN Unit M
Odessa, MO 64076-1676
Phone (816) 565-2490

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241204001033 MO Part B Supplier - Clinic/Group Practice 3971039710 Receives reassigned benefits from 1 practitioner
Practice locations: Odessa, MO

National Provider Directory

National Provider Directory

Locations

221 SW Noel St
Lees Summit, MO 64063

309 Park Ln
Unit M
Odessa, MO 64076
Phone (816) 565-2490

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1403136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728950400000",
    "number": "1053725812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 PARK LN UNIT M",
            "city": "ODESSA",
            "state": "MO",
            "postal_code": "640761676",
            "telephone_number": "816-565-2490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 PARK LN UNIT M",
            "city": "ODESSA",
            "state": "MO",
            "postal_code": "640761676",
            "telephone_number": "816-565-2490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSPIRED BODY THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-19",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A",
        "authorized_official_last_name": "RAUGEWITZ",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "816-565-2490",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MO",
            "license": "2011035532",
            "primary": true
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Odessa, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.