Active NPI
Bardavon Health Innovations, LLC
- Physical Therapist
- Overland Park, KS
National Provider Identifier
1194103283
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- BARDAVON HEALTH INNOVATIONS, LLC
- Practice address
- 6701 W 64TH St
Building 5, Suite 125
Overland Park, KS 66202-4123 - Phone
- (913) 236-1020
- NPI assigned
- May 11, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Myles Howell
- Title
- Director of Operations
- Phone
- (913) 219-9122
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | |||
| Physical Therapist | 225100000X | Primary | ||
| Physical Therapy Assistant | 225200000X | |||
| Athletic Trainer | 2255A2300X | |||
| Occupational Therapist | 225X00000X | |||
| Kinesiotherapist | 226300000X |
Addresses
Primary practice location
6701 W 64TH St
Building 5, Suite 125
Overland Park, KS 66202-4123
Mailing address
6701 W 64TH Street
Building 5, Suite 125
Overland Park, KS 66202
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1431302400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1431302400000",
"number": "1194103283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6701 W 64TH STREET",
"address_2": "BUILDING 5, SUITE 125",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "66202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6701 W 64TH ST",
"address_2": "BUILDING 5, SUITE 125",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662024123",
"telephone_number": "913-236-1020"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BARDAVON HEALTH INNOVATIONS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-05-11",
"last_updated": "2015-05-11",
"status": "A",
"authorized_official_last_name": "HOWELL",
"authorized_official_first_name": "MYLES",
"authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
"authorized_official_telephone_number": "913-219-9122"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Occupational Therapy Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
},
{
"code": "225200000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Physical Therapy Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "2255A2300X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": null,
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "226300000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Kinesiotherapist",
"state": null,
"license": null,
"primary": false
}
],
"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 May 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.