Darshan A Deole, DPT
Individual provider Active NPI Physical Therapist · Raytown, MO
NPI 1134416696 · NPPES record last updated Apr 19, 2016
Key facts
- NPI
- 1134416696
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 2011021971 (MO)
- Practice address
- 10801 E State Route 350
Raytown, MO 64138-2367 - Phone
- (816) 737-5500
- Fax
- (816) 737-5504
- NPI assigned
- Jul 6, 2011
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- University of Kansas School of Med (KC/Wich/Sal), 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Serc Rebabilitation Partners, LLC
Practice addresses (Care Compare)
10801 E State Route 350
Serc South Raytown
Raytown, MO 64138-2367
Phone (816) 737-5502
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110823000641 | MO | Practitioner - Physical Therapist in Private Practice | 3678743036 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2011021971 | MO | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Serc Rebabilitation Partners, LLC | Physical Therapist | Current |
Accepting new patients |
| Serc Rebabilitation Partners, LLC | Physical Therapist | Current |
Accepting new patients |
| Serc Rehabilitation Partners, LLC | Physical Therapist | Current | Accepting new patients |
| Mid America Balance Institute of Cass County Missouri | Past | Accepting new patients | |
| Spine and Extremity Rehabilitation Center of Raytown Inc | Physical Therapist | Past | Accepting new patients |
| Serc Rehabilitation Partners LLC | Physical Therapist | Past | Accepting new patients |
Locations
1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568
1225 SW State Route 7
Blue Springs, MO 64014
Phone (816) 295-2051
109 W Franklin St
Clinton, MO 64735
Phone (660) 383-1280
11902 Blue Ridge Ext
Ste 11906B
Grandview, MO 64030
Phone (816) 298-6120
10801 E State Route 350
Ste B
Raytown, MO 64138
Phone (816) 737-5500
8823 Production Ln
Ooltewah, TN 37363
Phone (423) 238-8923
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2011021971 | MO | Yes |
Addresses
Primary practice location
10801 E State Route 350
Raytown, MO 64138-2367
Mailing address
8823 Production LN
Ooltewah, TN 37363-6511
Phone (816) 226-4011
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 45791024 | Other | BCBS KC | |
| MA4370055 | Other | MO | MEDICARE PTAN |
Other providers in Raytown, MO
- Deaconess Long Term Care of Missouri, Inc
- Deaconess Long Term Care of Missouri, Inc.
- Kathryn Danielle Degenhardt
- Carrie Lynn Delphia
- Maizey Noel Denton
- Aimee Deschaine
- Anna Dillon
- Divine Health Home Care LLC
- DKJ Enterprise LLC
- DLC Labs KC LLC
All providers in Raytown, MO · Physical Therapist in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 19, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.