NPIMap

Organization Active NPI

Oa Centers of Kansas City, LLC

Doing business as Freedom Healthcare

  • Physical Medicine & Rehabilitation Physician
  • Independence, MO
National Provider Identifier
1346511268
Registry record updated Jan 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
2006025640 Issued in MO
Legal business name
OA CENTERS OF KANSAS CITY, LLC
Doing business as
Freedom Healthcare
Practice address
4200 Little Blue Pkwy
Suite 320
Independence, MO 64057-8312
Phone
(816) 867-4140
Fax
(636) 412-7989
NPI assigned
Jan 24, 2012
Last updated
Jan 24, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2012

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

Authorized official

Name
Candice Carter, FNP-BCNPI 1023388683
Title
Clinic Coordinator
Phone
(402) 934-8255

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X 2006025640 MO Primary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X MO

Addresses

Primary practice location

4200 Little Blue Pkwy
Suite 320
Independence, MO 64057-8312

Mailing address

4200 Little Blue Pkwy
Suite 320
Independence, MO 64057-8312
Phone (816) 867-4140

Other names 1

  • Freedom Healthcare Doing business as

National Provider Directory

National Provider Directory

Locations

850 E San Martin St
Bolivar, MO 65613
Phone (417) 777-2888

1802 N Woodbine Rd
Saint Joseph, MO 64506
Phone (816) 232-5113

1802 N Woodbine Rd
Ste 1
Saint Joseph, MO 64506

2911 S Belt Hwy
Ste B
Saint Joseph, MO 64503
Phone (816) 867-4140

1342 E Primrose St
Springfield, MO 65804
Phone (417) 886-2747

Practitioners & affiliated clinicians

Practitioners 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1327363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327363200000",
    "number": "1346511268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 LITTLE BLUE PKWY",
            "address_2": "SUITE 320",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640578312",
            "telephone_number": "816-867-4140",
            "fax_number": "636-412-7989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 LITTLE BLUE PKWY",
            "address_2": "SUITE 320",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640578312",
            "telephone_number": "816-867-4140",
            "fax_number": "636-412-7989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OA CENTERS OF KANSAS CITY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-24",
        "last_updated": "2012-01-24",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "CANDICE",
        "authorized_official_title_or_position": "CLINIC COORDINATOR",
        "authorized_official_telephone_number": "402-934-8255",
        "authorized_official_credential": "FNP-BC"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MO",
            "license": "2006025640",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Freedom Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Independence, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2012; 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.