Sean Whitmore

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2022030949 Issued in MO

Practice address

401 NW Murray Rd
Lees Summit, MO 64081-1425

Phone

(816) 944-4244

Fax

(816) 944-4245

NPI assigned

Sep 19, 2022

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

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Boost Sports Performance LLCGroup PAC ID 8921171604, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Boost Sports Performance, LLC

  • Physical Therapy Clinic/Center
  • Lees Summit, MO
  • NPI 1548428931
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1663545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727827200000",
    "number": "1124740964",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 NW MURRAY RD",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640811425",
            "telephone_number": "816-944-4244",
            "fax_number": "816-944-4245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITMORE",
        "first_name": "SEAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-19",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2022030949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie White
• Justin David White, DC
• Kiersten Marie White
• Whiting & Associates, LLC
• Jerri Lynn Whiting, PH.D.
• Dane K Wicks, MD
• Amy Wieboldt, LCSW
• Tyann Wiederholt
• Janna Wiele, MSW, LCSW
• Samantha Wiemann

• Physical Therapist in Lees Summit, MO
• Providers in Lees Summit, 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 2, 2024; 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.