Active NPI
Elliot John William Hutchison, DPT
- Physical Therapist
- Independence, MO
National Provider Identifier
1205498284
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2019029568
- Practice address
- 17331 E 40 Hwy Ste 105
Independence, MO 64055-6444 - Phone
- (816) 478-2333
- NPI assigned
- Jul 1, 2019
- Last updated
- Feb 11, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 11-06251 | KS | |
| Physical Therapist | 225100000X | 2019029568 | MO | Primary |
Addresses
Primary practice location
17331 E 40 Hwy Ste 105
Independence, MO 64055-6444
Mailing address
210 E 55TH Ter
Kansas City, MO 64113-1262
Phone (816) 799-2891
Other practice location 1
1333 Meadowlark Ln Ste 104
Kansas City, KS 66102-1200
Phone (913) 287-8815
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11-06251 | KS | MD | Physical Therapist |
| 2019029568 | MO | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Select Physical Therapy Holdings Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Select Physical Therapy
- Physical Therapy Clinic/Center
- Ashland, VA
- NPI 1174591218
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561939200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581379200000",
"number": "1205498284",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 E 55TH TER",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641131262",
"telephone_number": "816-799-2891"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17331 E 40 HWY STE 105",
"city": "INDEPENDENCE",
"state": "MO",
"postal_code": "640556444",
"telephone_number": "816-478-2333"
}
],
"practiceLocations": [
{
"address_1": "1333 Meadowlark Ln Ste 104",
"address_purpose": "LOCATION",
"city": "Kansas City",
"state": "KS",
"postal_code": "661021200",
"country_code": "US",
"telephone_number": "913-287-8815",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HUTCHISON",
"first_name": "ELLIOT",
"middle_name": "JOHN WILLIAM",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-07-01",
"last_updated": "2020-02-11",
"certification_date": "2020-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KS",
"license": "11-06251",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MO",
"license": "2019029568",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Independence, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 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.