Andrew Doyle

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1106553 Issued in KS

Practice address

721 Metropolitan Ave
Leavenworth, KS 66048-1407

Phone

(913) 250-5452

NPI assigned

Aug 23, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in KS, MO2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Deborah a King Ma and Associates IncGroup PAC ID 9931091485, 19 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Deborah a King Ma & Associates Inc

  • Speech-Language Pathologist
  • Shawnee Mission, KS
  • NPI 1942408950

  KS, MO, Physical Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1598140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598140800000",
    "number": "1124630801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 METROPOLITAN AVE",
            "city": "LEAVENWORTH",
            "state": "KS",
            "postal_code": "660481407",
            "telephone_number": "913-250-5452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 METROPOLITAN AVE",
            "city": "LEAVENWORTH",
            "state": "KS",
            "postal_code": "660481407",
            "telephone_number": "913-250-5452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOYLE",
        "first_name": "ANDREW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-08-23",
        "last_updated": "2020-08-23",
        "certification_date": "2020-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "1106553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://kingtherapykc.com/contact/",
            "affiliation": "N",
            "endpointDescription": "King  Therapy Websight",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "721 Metropolitan Ave",
            "city": "Leavenworth",
            "state": "KS",
            "country_code": "US",
            "postal_code": "660481407",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kevin P Donovan, PH.D
• Michelle Dorsey
• Patricia Ann Doty, RN, BSN
• Amy L. Douglass, RN, MSN
• Kylie L Dowell, PSY.D.
• Dr Jerry S Jackson & Associates P a
• Dr Martha L Hurley an Operating Division of Saint John Hospital
• Dr. Jon M Moore, an Operating Division of Saint John Hospital
• Laura Drinkard, M.S., LMFT
• DRS Price Young Odle & Horsch PA

• All providers in Leavenworth, KS
• Physical Therapist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2020; 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.