Active NPI
Physical Medicine and Rehabilitation Services, Inc.
- Physical Medicine & Rehabilitation Physician
- Independence, MO
National Provider Identifier
1336306448
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 102396
- Legal business name
- PHYSICAL MEDICINE AND REHABILITATION SERVICES, INC.
- Practice address
- 3445 S 291 Hwy
Suite 303
Independence, MO 64057-2663 - Phone
- (816) 373-8715
- Fax
- (816) 795-9388
- NPI assigned
- May 18, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Carol Lee Baskin
- Title
- Practice Manager
- Phone
- (816) 373-8715
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 102396 | MO | Primary |
| Physical Medicine & Rehabilitation Physician | 208100000X | 05-27198 | KS | |
| Neurology Physician | 2084N0400X | 2008002407 | MO |
Addresses
Primary practice location
3445 S 291 Hwy
Suite 303
Independence, MO 64057-2663
Mailing address
3445 S 291 Hwy
Suite 303
Independence, MO 64057-2663
Phone (816) 373-8715
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS, MO
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
5701 W 110th St
Ste 110
Leawood, KS 66211
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Medicine & Rehabilitation Physician
- Independence, MO
- NPI 1881770469
KS
-
- Neurology Physician
- Kansas City, MO
- NPI 1770609216
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211068800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1287446400000",
"number": "1336306448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3445 S 291 HWY",
"address_2": "SUITE 303",
"city": "INDEPENDENCE",
"state": "MO",
"postal_code": "640572663",
"telephone_number": "816-373-8715",
"fax_number": "816-795-9388"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3445 S 291 HWY",
"address_2": "SUITE 303",
"city": "INDEPENDENCE",
"state": "MO",
"postal_code": "640572663",
"telephone_number": "816-373-8715",
"fax_number": "816-795-9388"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHYSICAL MEDICINE AND REHABILITATION SERVICES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2008-05-18",
"last_updated": "2010-10-19",
"status": "A",
"authorized_official_last_name": "BASKIN",
"authorized_official_first_name": "CAROL",
"authorized_official_middle_name": "LEE",
"authorized_official_title_or_position": "PRACTICE MANAGER",
"authorized_official_telephone_number": "816-373-8715",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": "MO",
"license": "102396",
"primary": true
},
{
"code": "208100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": "KS",
"license": "05-27198",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": "MO",
"license": "2008002407",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Independence, MO
- Alexandra E Phillips, LMSW
- Callie Phillips
- Jeremiah Phillips
- Phoenix Home Care, LLC (Phoenix Home Care and Hospice)
- Phoenix Home Care, LLC (Phoenix Home Care)
- Physicians Wellness Group LLC
- Frenklyn Christopher Piggie Jr., PT, DPT
- Noelle Pilla, LMSW
- Pillar Residential Opportuniites
- Pillar Residential Opportunities
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2010; 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.