Individual provider Active NPI

Conner Weinman, DPT

  • Physical Therapist
  • Lee's Summit, MO
National Provider Identifier
1063197150
Registry record updated Jun 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2023023354 Issued in MO
Practice address
721 NE Lakewood Blvd
Lees Summit, MO 64064-1353
Phone
(816) 607-7180
Fax
(816) 607-7181
NPI assigned
Jun 16, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2023023354 MO Primary

Addresses

Primary practice location

721 NE Lakewood Blvd
Lees Summit, MO 64064-1353

Mailing address

1321 SW Market St
Lees Summit, MO 64081-2904
Phone (816) 607-7180

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250310003220 KS Practitioner - Physical Therapist in Private Practice 8426417064 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Kansas School of Med (KC/Wich/Sal), 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Paul Thomas Physical Therapy,LLCGroup PAC ID 5991844300, 5 clinicians

Practice addresses (Care Compare)

2106 W 75TH St
Prairie Village, KS 66208-3503
Phone (913) 291-2290

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hill Pro-Motion Physical Therapy, LLC Physical Therapist CurrentSince Jul 3, 2023 Accepting new patients
Paul Thomas Physical Therapy,LLC Physical Therapist CurrentSince Jan 31, 2025 Accepting new patients

Locations

2106 W 75th St
Prairie Vlg, KS 66208
Phone (913) 291-2290

721 NE Lakewood Blvd
Lees Summit, MO 64064
Phone (816) 373-0300

1321 SW Market St
Lees Summit, MO 64081
Phone (816) 607-7180

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1686873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686873600000",
    "number": "1063197150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1321 SW MARKET ST",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640812904",
            "telephone_number": "816-607-7180",
            "fax_number": "816-607-7181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 NE LAKEWOOD BLVD",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640641353",
            "telephone_number": "816-607-7180",
            "fax_number": "816-607-7181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEINMAN",
        "first_name": "CONNER",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-16",
        "last_updated": "2023-06-16",
        "certification_date": "2023-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2023023354",
            "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 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.