Preferred PT, LLC
Organization Active NPI Physical Therapist · Gladstone, MO
NPI 1154568665 · NPPES record last updated Dec 22, 2016
Key facts
- NPI
- 1154568665
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- Legal business name
- PREFERRED PT, LLC
- Practice address
- 101 NW Englewood Rd
Ste. 110
Gladstone, MO 64118-4063 - Phone
- (816) 413-0900
- Fax
- (816) 413-0737
- NPI assigned
- Jan 21, 2009
- Organization subpart
- No
Authorized official
- Name
- David C Todd, P.T.
- Title
- P.T./Owner
- Phone
- (316) 263-0003
Other NPIs on the same Medicare enrollment 2
Other NPIs with the same Medicare PAC ID 1
Corporate family (same tax ID) 9
Member of 1
Practitioners 59
-
Allison Ann Hilboldt, PT, DPT
-
Anthony Bragg, DPT
-
Monica C Cannon, DPT
-
Carly Ericson, DPT
-
Cathleen Fanning, DPT
-
Hannah Guerrero, DPT
-
Sidney L Hagge-Cocke, DPT
-
Sarah Heck, OTR
-
Alexa Heier, DPT
-
Mark Lawhon, P.T., DPT
-
Kelly Lewis, DPT
-
Jeffrey Eugene Martin, PT, DPT
-
Casey Patrick McNamara, PT, DPT
-
Jordan Michelle Minor, PT, DPT
-
Taylor Marie Neilson, PT, DPT
-
Angela Nicole Vanderpluym, PT, DPT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20161007001470 | MO | Part B Supplier - Clinic/Group Practice | 9436447422 |
Receives reassigned benefits from 36 practitioners 2 other NPIs on this enrollment Practice locations: Gladstone, MO; Kansas City, MO |
National Provider Directory
- Tax ID family
- Preferred PT LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | Yes |
Addresses
Primary practice location
101 NW Englewood Rd
Ste. 110
Gladstone, MO 64118-4063
Mailing address
PO Box 803914
Kansas City, MO 64180-3914
Phone (316) 263-0003
Other names
- Preferred PT Gladstone
Other providers in Gladstone, MO
- Zoe Popp
- Potens Wellness Clinic LLC
- Hailee Potts
- Preferred Family Healthcare
- Preferred Family Healthcare Inc
- Abigail Raffel
- Krisha Ranile
- Robert W. Rechtien Jr.
- Suzanne Decanniere Reed
- Steven Reichert
All providers in Gladstone, 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 Dec 22, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.