Ronald C Willeke, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

115000 Issued in MO

Practice address

4240 Blue Ridge Blvd
Suite 515
Kansas City, MO 64133-1713

Phone

(816) 353-0060

Fax

(816) 353-0070

NPI assigned

Jun 5, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Mid America Balance Institute of Cass County Missouri

  • Respiratory/Developmental/Rehabilitative Specialist/Technologist
  • Belton, MO
  • NPI 1902050511
  NPD (past)
• Spine and Extremity Rehabilitation Center of Raytown Inc

  • Physical Therapist
  • Raytown, MO
  • NPI 1568410165
  NPD (past)

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350000000000",
    "number": "1093754020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4240 BLUE RIDGE BLVD",
            "address_2": "SUITE 515",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641331713",
            "telephone_number": "816-353-0060",
            "fax_number": "816-353-0070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4240 BLUE RIDGE BLVD",
            "address_2": "SUITE 515",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641331713",
            "telephone_number": "816-353-0060",
            "fax_number": "816-353-0070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLEKE",
        "first_name": "RONALD",
        "middle_name": "C",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2012-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "115000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "34345075",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael S Wilkins, M.D.
• Thomas Lee Wilkins, MD
• Antoine Wilkinson
• Matthew Bruce Wilkinson, MD, PHD
• Christopher L Willeford, RN
• Elizabeth J Willen, PHD
• Laurin Willets, SLP
• William Brooks, DO, PC
• William Novack Inc
• Iman T Williams Christians, PH.D.

• Physical Therapist in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Physical Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.