NPIMap

Organization Active NPI

Mighty Kids Pediatric Therapy

  • Pediatric Physical Therapist
  • Lee's Summit, MO
National Provider Identifier
1154951176
Registry record updated Jan 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
Legal business name
MIGHTY KIDS PEDIATRIC THERAPY
Practice address
829 Hwy 150
Lee's Summit, MO 64082-6408
Phone
(816) 352-9271
NPI assigned
Jan 17, 2020
Last updated
Jan 17, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2020

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

Authorized official

Name
Mr. Jeremy Adam Brown
Title
Director of Operations
Phone
(816) 352-9271

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical Therapist 2251P0200X NU Primary

Addresses

Primary practice location

829 Hwy 150
Lee's Summit, MO 64082-6408

Mailing address

914 SW Georgetown Dr
Lees Summit, MO 64082-4681
Phone (816) 352-9271

Other identifiers 2

IdentifierTypeStateIssuer
1336789973OtherNPI
1649241779OtherNPI

National Provider Directory

National Provider Directory

Locations

829 SW Lemans Ln
Lees Summit, MO 64082
Phone (816) 352-9461

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1579219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579219200000",
    "number": "1154951176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "914 SW GEORGETOWN DR",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640824681",
            "telephone_number": "816-352-9271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "829 HWY 150",
            "city": "LEE'S SUMMIT",
            "state": "MO",
            "postal_code": "640826408",
            "telephone_number": "816-352-9271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIGHTY KIDS PEDIATRIC THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-17",
        "last_updated": "2020-01-17",
        "certification_date": "2020-01-17",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_middle_name": "ADAM",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "816-352-9271",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1336789973",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1649241779",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lee's Summit, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.