NPIMap

Organization Active NPI

Advanced Physical Therapy and Sports Rehabilitation, P.a.

  • Physical Therapy Clinic/Center
  • Kansas City, MO
National Provider Identifier
1154501385
Registry record updated Oct 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
01459 Issued in MO
Legal business name
ADVANCED PHYSICAL THERAPY AND SPORTS REHABILITATION, P.A.
Practice address
6324 NW Barry Rd
Kansas City, MO 64154-2531
Phone
(816) 741-4525
Fax
(816) 220-9099
NPI assigned
Nov 5, 2007
Organization subpart
Yes
Parent organization
ADVANCED PHYSICAL THERAPY AND SPORTS REHABILITATION, P.A.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 28, 2022

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

Authorized official

Name
Ms. Donna Lee Newman, RPTNPI 1215981659
Title
President
Phone
(816) 220-0223

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 01459 MO Primary

Addresses

Primary practice location

6324 NW Barry Rd
Kansas City, MO 64154-2531

Mailing address

220 N.W. R.D. Mize Road
Suite B203
Blue Springs, MO 64014-2540
Phone (816) 220-0223

Other identifiers 1

IdentifierTypeStateIssuer
L560000AOtherMOMEDICARE GROUP NUMBER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040714001499 MO Part B Supplier - Physical/Occupational Therapy Group in Private Practice 6901885979 Receives reassigned benefits from 4 practitioners
2 other NPIs on this enrollment
Practice locations: Blue Springs, MO; Kansas City, MO

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Advanced Physical Therapy3 organizations share this tax ID, including this one
Part of
Advanced Physical Therapy

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

220 W Road Mize Rd
Ste B203
Blue Springs, MO 64014
Phone (816) 220-0223

6324 NW Barry Rd
Kansas City, MO 64154
Phone (816) 220-0223

Practitioners & affiliated clinicians

Practitioners 7

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

NPI Registry JSON

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

{
    "created_epoch": "1194220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666915200000",
    "number": "1154501385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 N.W. R.D. MIZE ROAD",
            "address_2": "SUITE B203",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640142540",
            "telephone_number": "816-220-0223",
            "fax_number": "816-220-9099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6324 NW BARRY RD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641542531",
            "telephone_number": "816-741-4525",
            "fax_number": "816-220-9099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED PHYSICAL THERAPY AND SPORTS REHABILITATION, P.A.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ADVANCED PHYSICAL THERAPY AND SPORTS REHABILITATION, P.A.",
        "enumeration_date": "2007-11-05",
        "last_updated": "2022-10-28",
        "certification_date": "2022-10-28",
        "status": "A",
        "authorized_official_last_name": "NEWMAN",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "816-220-0223",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MO",
            "license": "01459",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "L560000A",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2022; 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.