Individual provider Active NPI

Jeffrey Stone, MPT

  • Physical Therapist
  • Prairie Village, KS
National Provider Identifier
1083755953
Registry record updated Jan 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2019000114 Issued in MO
Practice address
6911 Tomahawk Rd
Prairie Village, KS 66208
Phone
(913) 871-6291
Fax
(913) 871-7633
NPI assigned
Feb 12, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 11-05563 KS
Physical Therapist 225100000X 2019000114 MO Primary

Addresses

Primary practice location

6911 Tomahawk Rd
Prairie Village, KS 66208

Mailing address

600 Oakmont LN Ste 600C
Westmont, IL 60559-5548
Phone (630) 575-1980

Other practice location 1

1330 Shermer Rd
Northbrook, IL 60062-4539
Phone (847) 480-1280

Other practice location 2

9544 Antioch Rd
Overland Park, KS 66212
Phone (913) 396-6756

Other practice location 3

9544 Antioch Rd
Overland Park, KS 66212
Phone (913) 396-6756

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, MO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170919003292 KS Practitioner - Physical Therapist in Private Practice 2163678137 Reassigns benefits to 1 organization
I20190110003434 MO Practitioner - Physical Therapist in Private Practice 2163678137 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11-05563KSMDPhysical Therapist
2019000114MOMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Athletico LTD Physical Therapist Current Accepting new patients

Locations

2122 York Rd
Ste 300
Oak Brook, IL 60523
Phone (630) 575-6250

229 S Stewart Rd
Ste E3
Liberty, MO 64068
Phone (816) 656-3695

2007 W Foxwood Dr
Ste D
Raymore, MO 64083
Phone (816) 265-8116

1832 Wentzville Pkwy
Wentzville, MO 63385
Phone (636) 327-7110

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738108800000",
    "number": "1083755953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 OAKMONT LN STE 600C",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605595548",
            "telephone_number": "630-575-1980",
            "fax_number": "630-928-5080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6911 TOMAHAWK RD",
            "city": "PRAIRIE VILLAGE",
            "state": "KS",
            "postal_code": "66208",
            "telephone_number": "913-871-6291",
            "fax_number": "913-871-7633"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1330 Shermer Rd",
            "address_purpose": "LOCATION",
            "city": "Northbrook",
            "state": "IL",
            "postal_code": "600624539",
            "country_code": "US",
            "telephone_number": "847-480-1280",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9544 ANTIOCH RD",
            "address_purpose": "LOCATION",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "66212",
            "country_code": "US",
            "telephone_number": "913-396-6756",
            "fax_number": "913-871-7132",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9544 ANTIOCH RD",
            "address_purpose": "LOCATION",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "66212",
            "country_code": "US",
            "telephone_number": "913-396-6756",
            "fax_number": "913-871-7132",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STONE",
        "first_name": "JEFFREY",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-12",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "11-05563",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2019000114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prairie Village, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2025; 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.