Gary Dwayne Eichenberger, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2010031806 Issued in MO

Practice address

1005 N State Route 291
Liberty, MO 64068

Phone

(816) 429-5199

Fax

(816) 429-7129

NPI assigned

Mar 30, 2011

Last updated

Oct 21, 2026By the provider in NPPES

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, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Complete PT, LLCGroup PAC ID 2062786825, 4 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Complete PT, LLC

  • Physical Therapy Clinic/Center
  • Liberty, MO
  • NPI 1790214252

  Physical Therapist

  Medicare reassignment Care Compare group NPD Authorized official
• Hill Pro-Motion Physical Therapy, LLC

  • Physical Therapist
  • Lee's Summit, MO
  • NPI 1538431333
  Medicare reassignment
• Boost Sports Performance, LLC

  dba Boost Physical Therapy & Sports Performance

  • Physical Therapy Clinic/Center
  • Lee's Summit, MO
  • NPI 1548428931
  NPD (past)

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

{
    "created_epoch": "1301443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792540800000",
    "number": "1154610186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 N STATE ROUTE 291",
            "city": "LIBERTY",
            "state": "MO",
            "postal_code": "64068",
            "telephone_number": "816-429-5199",
            "fax_number": "816-429-7129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 N STATE ROUTE 291",
            "city": "LIBERTY",
            "state": "MO",
            "postal_code": "64068",
            "telephone_number": "816-429-5199",
            "fax_number": "816-429-7129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EICHENBERGER",
        "first_name": "GARY",
        "middle_name": "DWAYNE",
        "name_prefix": "Mr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-30",
        "last_updated": "2026-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2010031806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine D Easley, FNP-C
• Baylie Alexandra Edwards Van Pelt
• Sandra Eggers, FNP-BC
• Suzanne Marie Eggers, M.D.
• Sarah E Ehlers, (LCSW)
• Raonak Ekram, MD
• Elizabeth Elizondo
• Katie Ellermeier
• Madeline Anne Elliott, CCC-SLP
• Tiphanie Embry

• Physical Therapist in Liberty, MO
• Providers in Liberty, 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 21, 2026; 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.