Advanced Physical Therapy and Sports Rehabilitation, P.a.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

01459 Issued in MO

Legal business name

ADVANCED PHYSICAL THERAPY AND SPORTS REHABILITATION, P.A.

Practice address

9783 N Cedar Ave
Kansas City, MO 64157-6208

Phone

(816) 220-0223

Fax

(816) 220-9099

NPI assigned

Oct 30, 2007

Last updated

May 25, 2022By the provider in NPPES

Organization subpart

Yes

Parent organization

ADVANCED PHYSICAL THERAPY AND SPORTS REHABILITATION, P.A.As reported in NPPES

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

Authorized official

Name

Ms. Donna Lee Newman, R.P.T.NPI 1215981659

Title

President

Phone

(816) 220-0223

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Advanced Physical Therapy and Sports Rehabilitation, P.a.

  • Physical Therapy Clinic/Center
  • Kansas City, MO
  • NPI 1154501385

  O20040714001499

  Same enrollment
• Advanced Physical Therapy and Sports Rehabilitation, PA

  • Physical Therapy Clinic/Center
  • Blue Springs, MO
  • NPI 1770778433

  O20040714001499

  Same enrollment

Tax ID family

Advanced Physical Therapy and Sports Rehabilitation PA3 organizations share this tax ID, including this one

Part of

Advanced Physical Therapy and Sports Rehabilitation PA

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Advanced Physical Therapy and Sports Rehabilitation, P.a.

  • Physical Therapy Clinic/Center
  • Kansas City, MO
  • NPI 1154501385
  NPD tax ID
• Advanced Physical Therapy and Sports Rehabilitation, PA

  • Physical Therapy Clinic/Center
  • Blue Springs, MO
  • NPI 1770778433
  NPD tax ID

Locations

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.

• Donna L Newman, RPT

  • Physical Therapist
  • Overland Park, KS
  • NPI 1215981659
  NPD (past) Authorized official

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

{
    "created_epoch": "1193702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653436800000",
    "number": "1245419019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 N.W. R.D. MIZE ROAD",
            "address_2": "SUITE B203",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640142540",
            "telephone_number": "816-220-0223",
            "fax_number": "816-220-9099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9783 N CEDAR AVE",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641576208",
            "telephone_number": "816-220-0223",
            "fax_number": "816-220-9099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED PHYSICAL THERAPY AND SPORTS REHABILITATION, P.A.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ADVANCED PHYSICAL THERAPY AND SPORTS REHABILITATION, P.A.",
        "enumeration_date": "2007-10-30",
        "last_updated": "2022-05-25",
        "certification_date": "2022-05-25",
        "status": "A",
        "authorized_official_last_name": "NEWMAN",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "816-220-0223",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "R.P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MO",
            "license": "01459",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "L560000A",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapy Clinic/Center in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Physical Therapy Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2022; 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.