Patrick Dunham, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

Practice address

519 Avenida Cesar E Chavez
Kansas City, MO 64108-2133

Phone

(888) 913-1910

NPI assigned

Mar 3, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1677801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723248000000",
    "number": "1235839705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 AVENIDA CESAR E CHAVEZ",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641082133",
            "telephone_number": "888-913-1910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 AVENIDA CESAR E CHAVEZ",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641082133",
            "telephone_number": "888-913-1910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNHAM",
        "first_name": "PATRICK",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-03-03",
        "last_updated": "2024-08-10",
        "certification_date": "2024-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MI",
            "license": "5502005544",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OR",
            "license": "10057",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MD",
            "license": "A5728",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NA",
            "identifier": "XXX",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deidra Duncan
• Kenya Duncan, BCBA
• Melissa Howard Duncan, M.D.
• Patricia Ann Duncan, RN
• Deidre Nichole Dunham
• Sean Matthew Dunivent, D.C.
• Dunlap and Associates Counseling Services LLC
• Alexandra N Dunlap
• Brittany Dunlap
• Jennifer Lynn Dunlap, MSN, APRN, FNP-C

• Physical Therapy Assistant in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Physical Therapy Assistant in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2024; 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.