NPIMap

Organization Active NPI

Specialists in Sports and Orthopedic Rehabilitation LLC

  • Physical Therapist
  • Overland Park, KS
National Provider Identifier
1134493075
Registry record updated Jun 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
SPECIALISTS IN SPORTS AND ORTHOPEDIC REHABILITATION LLC
Practice address
7381 W 133Rd St
Suite 302
Overland Park, KS 66213-4750
Phone
(913) 904-1128
NPI assigned
Feb 23, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2025

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

Authorized official

Name
Richard Leaver
Title
Ceo
Phone
(616) 356-5000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

7381 W 133Rd St
Suite 302
Overland Park, KS 66213-4750

Mailing address

625 Kenmoor Ave SE Ste 100
Grand Rapids, MI 49546-2395
Phone (616) 356-5000

Other practice location 1

22342 W 66th St
Shawnee, KS 66226-3560
Phone (913) 728-6166

Other practice location 2

8340 Mission Rd Ste 119
Prairie Village, KS 66206-1362
Phone (913) 904-0261

Other practice location 3

11032 Quivira Rd
Overland Park, KS 66210-1239
Phone (913) 735-7905

Other practice location 4

2872 W 47th Ave
Kansas City, KS 66103-3243
Phone (913) 728-6158

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120417000507 KS Part B Supplier - Clinic/Group Practice 8820259906 Receives reassigned benefits from 16 practitioners
Practice locations: Kansas City, KS; Shawnee, KS; Prairie Village, KS; Overland Park, KS

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

2872 W 47th Ave
Kansas City, KS 66103
Phone (913) 728-6158

7381 W 133rd St
Ste 302
Overland Park, KS 66213
Phone (913) 904-1128

11032 Quivira Rd
Overland Park, KS 66210
Phone (913) 735-7905

22342 W 66th St
Shawnee, KS 66226
Phone (913) 728-6166

Practitioners & affiliated clinicians

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1329955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748822400000",
    "number": "1134493075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 KENMOOR AVE SE STE 100",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495462395",
            "telephone_number": "616-356-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7381 W 133RD ST",
            "address_2": "SUITE 302",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662134750",
            "telephone_number": "913-904-1128"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22342 W 66th St",
            "address_purpose": "LOCATION",
            "city": "Shawnee",
            "state": "KS",
            "postal_code": "662263560",
            "country_code": "US",
            "telephone_number": "913-728-6166",
            "fax_number": "833-615-8216",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8340 Mission Rd Ste 119",
            "address_purpose": "LOCATION",
            "city": "Prairie Village",
            "state": "KS",
            "postal_code": "662061362",
            "country_code": "US",
            "telephone_number": "913-904-0261",
            "fax_number": "913-904-0264",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11032 Quivira Rd",
            "address_purpose": "LOCATION",
            "city": "Overland Park",
            "state": "KS",
            "postal_code": "662101239",
            "country_code": "US",
            "telephone_number": "913-735-7905",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2872 W 47th Ave",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "KS",
            "postal_code": "661033243",
            "country_code": "US",
            "telephone_number": "913-728-6158",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SPECIALISTS IN SPORTS AND ORTHOPEDIC REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-23",
        "last_updated": "2025-06-02",
        "certification_date": "2025-06-02",
        "status": "A",
        "authorized_official_last_name": "LEAVER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "616-356-5000"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2025; 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.