Preferred PT, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

PREFERRED PT, LLC

Practice address

7201 E 147TH St Ste 120
Grandview, MO 64030-4204

Phone

(816) 425-3580

Fax

(816) 425-3641

NPI assigned

Sep 23, 2019

Organization subpart

No

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

Authorized official

Name

David Charles Todd

Title

Owner

Phone

(316) 263-0003

Specialties & licenses 2

Addresses

Other names 1

• Preferred PT Grandview Doing business as

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

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

• Preferred PT, LLC

  • Physical Therapist
  • Gladstone, MO
  • NPI 1154568665

  O20161007001470

  Same enrollment
• Preferred PT, LLC

  • Physical Therapist
  • Kansas City, MO
  • NPI 1568830040

  O20161007001470

  Same enrollment

Locations

Practitioners 1

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

• Janeisha Griggs, PT, DPT

  • Physical Therapist
  • Kansas City, MO
  • NPI 1285245746
  NPD

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

{
    "created_epoch": "1569196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569196800000",
    "number": "1194376004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W DOUGLAS AVE STE 1040",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672023017",
            "telephone_number": "316-263-0003",
            "fax_number": "316-263-0003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7201 E 147TH ST STE 120",
            "city": "GRANDVIEW",
            "state": "MO",
            "postal_code": "640304204",
            "telephone_number": "816-425-3580",
            "fax_number": "816-425-3641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREFERRED PT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-23",
        "last_updated": "2019-09-23",
        "status": "A",
        "authorized_official_last_name": "TODD",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "316-263-0003"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Preferred PT Grandview",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gary Park, PTA
• Gaitha Pennington, LPC
• Deborah S Perry, CPM
• Jennifer Yvonne Philipsheck, PHARM.D
• Jacquelyn Faye Potts
• Premier Eyecare & Eyewear
• Principle First Assist, Inc.
• R B Shonkwiler LLC
• Marcus Ruben Ramos-Pearson, DMD
• Stephen L Regas, MD

• All providers in Grandview, MO
• Physical Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2019; 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.