Active NPI
Motus Biologics and Sports Medicine LLC
- Sports Medicine (Family Medicine) Physician
- Overland Park, KS
National Provider Identifier
1215388632
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Family Medicine) Physician
- License
- 04-36559
- Legal business name
- MOTUS BIOLOGICS AND SPORTS MEDICINE LLC
- Practice address
- 5525 W 119TH St
Ste 250
Overland Park, KS 66209-3724 - Phone
- (913) 808-5275
- Fax
- (913) 257-5150
- NPI assigned
- Jun 27, 2016
- Last updated
- Mar 23, 2017
- 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
- Dr. Leslie A Michaud, M.D.
- Title
- Owner
- Phone
- (913) 808-5275
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Family Medicine) Physician | 207QS0010X | 04-36559 | KS | Primary |
| Ambulatory Surgical Clinic/Center | 261QA1903X | 04-36559 | KS |
Addresses
Primary practice location
5525 W 119TH St
Ste 250
Overland Park, KS 66209-3724
Mailing address
5525 W 119TH St
Ste 250
Overland Park, KS 66209-3724
Phone (913) 808-5275
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 108000021 | Other | PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
5525 W 119th St
Ste 250
Overland Park, KS 66209
Phone (913) 808-5275
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Sports Medicine (Family Medicine) Physician
- Overland Park, KS
- NPI 1972701019
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466985600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1490227200000",
"number": "1215388632",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5525 W 119TH ST",
"address_2": "STE 250",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662093724",
"telephone_number": "913-808-5275",
"fax_number": "913-257-5150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5525 W 119TH ST",
"address_2": "STE 250",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662093724",
"telephone_number": "913-808-5275",
"fax_number": "913-257-5150"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOTUS BIOLOGICS AND SPORTS MEDICINE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-06-27",
"last_updated": "2017-03-23",
"status": "A",
"authorized_official_last_name": "MICHAUD",
"authorized_official_first_name": "LESLIE",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "913-808-5275",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207QS0010X",
"taxonomy_group": "",
"desc": "Family Medicine, Sports Medicine",
"state": "KS",
"license": "04-36559",
"primary": true
},
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "KS",
"license": "04-36559",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN",
"identifier": "108000021",
"state": null
}
],
"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 Mar 23, 2017; 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.