Organization Active NPI

Ortho Coach LLC

  • Physical Therapist
  • Overland Park, KS
National Provider Identifier
1225758519
Registry record updated Sep 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
ORTHO COACH LLC
Practice address
7373 W 107TH St
Overland Park, KS 66212-2547
Phone
(816) 807-6754
NPI assigned
Aug 29, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2025

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

Authorized official

Name
Austin Tyler Williams, PT, DPTNPI 1013528066
Title
Owner
Phone
(816) 944-6825

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

7373 W 107TH St
Overland Park, KS 66212-2547

Mailing address

1629 NE Westwind Dr
Lees Summit, MO 64086-5806
Phone (816) 807-6754

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20230414002215 MO Part B Supplier - Physical/Occupational Therapy Group in Private Practice 1052786555 Receives reassigned benefits from 2 practitioners
Practice locations: Lees Summit, MO
O20250307000199 KS Part B Supplier - Physical/Occupational Therapy Group in Private Practice 1052786555 Receives reassigned benefits from 2 practitioners
Practice locations: Overland Park, KS

National Provider Directory

National Provider Directory

Locations

7373 W 107th St
Overland Park, KS 66212
Phone (816) 944-6825

4 NE Skyline Dr
Lees Summit, MO 64086
Phone (816) 255-4007

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1661731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758672000000",
    "number": "1225758519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1629 NE WESTWIND DR",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640865806",
            "telephone_number": "816-807-6754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7373 W 107TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662122547",
            "telephone_number": "816-807-6754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHO COACH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-29",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "AUSTIN",
        "authorized_official_middle_name": "TYLER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "816-944-6825",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Sep 24, 2025; 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.