Becky Phung

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2019017144 Issued in MO

Practice address

101 NW Englewood Rd
Gladstone, MO 64118-4054

Phone

(816) 413-0900

Fax

(816) 413-0737

NPI assigned

Jul 16, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Preferred PT LLCGroup PAC ID 9436447422, 48 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Preferred PT, LLC

  • Physical Therapist
  • Gladstone, MO
  • NPI 1154568665

  MO, Physical Therapist

  Medicare reassignment Care Compare group NPD
• Preferred PT LLC

  • Physical Therapist
  • Lenexa, KS
  • NPI 1619908647
  Care Compare group
• Preferred PT, LLC

  • Physical Therapist
  • Kansas City, MO
  • NPI 1568830040
  NPD
• Preferred PT LLC

  • Physical Therapist
  • Leawood, KS
  • NPI 1336966852
  NPD

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

{
    "created_epoch": "1563235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563235200000",
    "number": "1366095697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W DOUGLAS AVE STE 1040",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672023017",
            "telephone_number": "316-263-0003",
            "fax_number": "316-263-1241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 NW ENGLEWOOD RD",
            "city": "GLADSTONE",
            "state": "MO",
            "postal_code": "641184054",
            "telephone_number": "816-413-0900",
            "fax_number": "816-413-0737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHUNG",
        "first_name": "BECKY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-16",
        "last_updated": "2019-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2019017144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah Ann Peek, OTR L
• Jordan A Perriman, DDS
• Kristie E Pfaff, MSW, LCSW, LSCSW
• Melanie Lee Phillips, AUD
• Sheila K Phillips, D.O.
• Hillary Rummel Pierce
• Andrea J Pittman, LCSW, RPT
• David Scott Platt, DDS
• Louis A. Pollina, DDS
• Zoe Popp

• All providers in Gladstone, MO
• Physical Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.