Individual provider Active NPI

Douglas D Lenners, PT/ATC

  • Athletic Trainer
  • Saint Joseph, MO
National Provider Identifier
1235160193
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
2001019657 Issued in MO
Practice address
801 Riverside
Suite 250
St. Joseph, MO 64505
Phone
(816) 271-6636
Fax
(816) 271-6645
NPI assigned
Jul 6, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physical Therapist 2251S0007X 112536 MO
Athletic Trainer 2255A2300X 2001019657 MO Primary

Addresses

Primary practice location

801 Riverside
Suite 250
St. Joseph, MO 64505

Mailing address

22754 County Road 228
Union Star, MO 64494-8179
Phone (660) 535-4589

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

LicenseStateTypeSpecialty
112536MOMDSports Physical Therapist
2001019657MOMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1235160193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22754 COUNTY ROAD 228",
            "city": "UNION STAR",
            "state": "MO",
            "postal_code": "644948179",
            "telephone_number": "660-535-4589",
            "fax_number": "816-271-6645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 RIVERSIDE",
            "address_2": "SUITE 250",
            "city": "ST. JOSEPH",
            "state": "MO",
            "postal_code": "64505",
            "telephone_number": "816-271-6636",
            "fax_number": "816-271-6645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LENNERS",
        "first_name": "DOUGLAS",
        "middle_name": "D",
        "credential": "PT/ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "MO",
            "license": "112536",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MO",
            "license": "2001019657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Joseph, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.