Organization Active NPI

Fit Muscle & Joint Clinic LLC

  • Rehabilitation Chiropractor
  • Shawnee, KS
National Provider Identifier
1093088320
Registry record updated Sep 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
Legal business name
FIT MUSCLE & JOINT CLINIC LLC
Practice address
22120 Midland Dr Ste 1
Shawnee, KS 66226-3554
Phone
(913) 745-4064
Fax
(913) 745-4352
NPI assigned
Feb 16, 2012
Last updated
Sep 9, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2026

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

Authorized official

Name
Dr. Matthew Miller Lane, DCNPI 1467727867
Title
Doctor/Co-Owner
Phone
(913) 745-4064

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU
Physical Therapist 225100000X NU
Rehabilitation Chiropractor 111NR0400X KS
Rehabilitation Chiropractor 111NR0400X NU Primary

Addresses

Primary practice location

22120 Midland Dr Ste 1
Shawnee, KS 66226-3554

Mailing address

22120 Midland Dr Ste 1
Shawnee, KS 66226-3554
Phone (913) 745-4064

Other practice location 1

15040 Newton Dr
Overland Park, KS 66223-2210
Phone (913) 808-5245

Other practice location 2

5 E Piankishaw St
Paola, KS 66071-1716
Phone (913) 404-4101

Other practice location 3

9250 State Ave
Kansas City, KS 66112-1548
Phone (816) 763-1419

Other practice location 4

11340 Nall Ave Ste 200B
Overland Park, KS 66211-2485
Phone (913) 354-5020

Other practice location 5

907 N Pearl St
Paola, KS 66071-1100
Phone (913) 404-4101

Other practice location 6

9120 Metcalf Ave
Overland Park, KS 66212-1408
Phone (913) 257-5627

Other practice location 7

2113 E Kansas City Rd
Olathe, KS 66061-7050
Phone (913) 791-0144

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140226001886 KS Part B Supplier - Clinic/Group Practice 5991935579 Receives reassigned benefits from 43 practitioners
Practice locations: Overland Park, KS; Shawnee, KS; Paola, KS; Olathe, KS; Kansas City, KS

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Fit Muscle Joint Clinic LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

11340 Nall Ave
Ste 200
Overland Park, KS 66211
Phone (913) 354-5020

9120 Metcalf Ave
Overland Park, KS 66212
Phone (913) 254-5627

Practitioners & affiliated clinicians

Practitioners 57

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 57

NPI Registry JSON

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

{
    "created_epoch": "1329350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788912000000",
    "number": "1093088320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22120 MIDLAND DR STE 1",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662263554",
            "telephone_number": "913-745-4064",
            "fax_number": "913-745-4352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22120 MIDLAND DR STE 1",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662263554",
            "telephone_number": "913-745-4064",
            "fax_number": "913-745-4352"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15040 Newton Dr",
            "address_purpose": "LOCATION",
            "city": "Overland Park",
            "state": "KS",
            "postal_code": "662232210",
            "country_code": "US",
            "telephone_number": "913-808-5245",
            "fax_number": "913-808-5244",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5 E Piankishaw St",
            "address_purpose": "LOCATION",
            "city": "Paola",
            "state": "KS",
            "postal_code": "660711716",
            "country_code": "US",
            "telephone_number": "913-404-4101",
            "fax_number": "913-745-4352",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9250 State Ave",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "KS",
            "postal_code": "661121548",
            "country_code": "US",
            "telephone_number": "816-763-1419",
            "fax_number": "913-745-4352",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11340 Nall Ave Ste 200B",
            "address_purpose": "LOCATION",
            "city": "Overland Park",
            "state": "KS",
            "postal_code": "662112485",
            "country_code": "US",
            "telephone_number": "913-354-5020",
            "fax_number": "913-745-4352",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "907 N Pearl St",
            "address_purpose": "LOCATION",
            "city": "Paola",
            "state": "KS",
            "postal_code": "660711100",
            "country_code": "US",
            "telephone_number": "913-404-4101",
            "fax_number": "913-745-4352",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9120 Metcalf Ave",
            "address_purpose": "LOCATION",
            "city": "Overland Park",
            "state": "KS",
            "postal_code": "662121408",
            "country_code": "US",
            "telephone_number": "913-257-5627",
            "fax_number": "913-257-5799",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2113 E Kansas City Rd",
            "address_purpose": "LOCATION",
            "city": "Olathe",
            "state": "KS",
            "postal_code": "660617050",
            "country_code": "US",
            "telephone_number": "913-791-0144",
            "fax_number": "913-791-0111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FIT MUSCLE & JOINT CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-16",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A",
        "authorized_official_last_name": "LANE",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "MILLER",
        "authorized_official_title_or_position": "DOCTOR/CO-OWNER",
        "authorized_official_telephone_number": "913-745-4064",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "KS",
            "license": null,
            "primary": false
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shawnee, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2026; 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.