Northland Pediatric Physical Therapy, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

2000167618 Issued in MO

Legal business name

NORTHLAND PEDIATRIC PHYSICAL THERAPY, LLC

Practice address

6609 Royal St Ste 103
Pleasant Valley, MO 64068-8737

Phone

(816) 535-0011

Fax

(816) 535-0377

NPI assigned

Feb 7, 2017

Organization subpart

No

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

Authorized official

Name

Jennifer R Huyser, PT

Title

Owner/Physical Therapist

Phone

(816) 535-0011

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1486425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486425600000",
    "number": "1255879599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6609 ROYAL ST STE 103",
            "city": "PLEASANT VALLEY",
            "state": "MO",
            "postal_code": "640688737",
            "telephone_number": "816-535-0011",
            "fax_number": "816-535-0377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6609 ROYAL ST STE 103",
            "city": "PLEASANT VALLEY",
            "state": "MO",
            "postal_code": "640688737",
            "telephone_number": "816-535-0011",
            "fax_number": "816-535-0377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHLAND PEDIATRIC PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-07",
        "last_updated": "2017-02-07",
        "status": "A",
        "authorized_official_last_name": "HUYSER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "816-535-0011",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MO",
            "license": "2000167618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Liliana Jackson, RBT
• Essence Jones, RBT
• Kelly Kays
• Jody Marie Murphy
• Daja Marie Neal, OTD
• Amber Teel Olson, LPC
• Renny Russell DC PC
• Christina Richmond, M.S. CCC-SLP
• Christina Kay Rohlfs, M. ED. & M. S.
• Andrea Ruse, PLPC

• Physical Therapy Clinic/Center in Pleasant Valley, MO
• Providers in Pleasant Valley, 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 Feb 7, 2017; 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.