Individual provider Active NPI

Banaka Okwuone, DPT

  • Physical Therapist
  • Lawrence, KS
National Provider Identifier
1386027456
Registry record updated Jul 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11-05135 Issued in KS
Practice address
1311 Wakarusa Dr Ste 1000
Lawrence, KS 66049-1741
Phone
(785) 749-1300
NPI assigned
Jul 7, 2015
Last updated
Jul 7, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 11-05135 KS Primary

Addresses

Primary practice location

1311 Wakarusa Dr Ste 1000
Lawrence, KS 66049-1741

Mailing address

1311 Wakarusa Dr Ste 1000
Lawrence, KS 66049-1741
Phone (785) 749-1300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, MO, TX3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20180412002576 KS Practitioner - Physical Therapist in Private Practice 7012270622 Reassigns benefits to 2 organizations
I20190919001727 MO Practitioner - Physical Therapist in Private Practice 7012270622 Reassigns benefits to 1 organization
I20260615003407 TX Practitioner - Physical Therapist in Private Practice 7012270622 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Athletico LTDGroup PAC ID 4789602681, shared by 41 NPIs, 2,187 clinicians

Practice addresses (Care Compare)

229 S Stewart Rd
Suite E 3
Liberty, MO 64068-4206
Phone (816) 656-3695

6911 Tomahawk Rd
Prairie Village, KS 66208-2618
Phone (913) 871-6291

Merit-based Incentive Payment System (MIPS)

Final score
86.32 of 100Reported as group
Quality
84.44
Promoting interoperability
99
Improvement activities
40
Cost
70.78

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11-05135KSMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Athletico LTD Physical Therapist CurrentSince Sep 16, 2019 Accepting new patients
Select Physical Therapy Holdings, Inc. CurrentSince Jan 1, 2018 Accepting new patients
Select Physical Therapy Holdings, Inc. Physical Therapist Current Accepting new patients
Athletico LTD Physical Therapist Current Accepting new patients
Select Physical Therapy Holdings Inc CurrentSince Jan 1, 2018 Accepting new patients
Athletico LTD Physical Therapist CurrentSince Sep 16, 2019 Accepting new patients
Select Physical Therapy Holdings, Inc. PastSince Jul 12, 2020 Accepting new patients

Locations

600 Oakmont Ln
Ste 600C
Westmont, IL 60559
Phone (630) 575-6250

5922 Barkley St
Mission, KS 66202
Phone (913) 229-9440

9544 Antioch Rd
Overland Park, KS 66212
Phone (913) 396-6756

6911 Tomahawk Rd
Prairie Village, KS 66208
Phone (913) 871-6291

229 S Stewart Rd
Ste E3
Liberty, MO 64068
Phone (816) 656-3695

2007 W Foxwood Dr
Ste D
Raymore, MO 64083
Phone (816) 265-8116

Organizations & group practices 8

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

NPI Registry JSON

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

{
    "created_epoch": "1436227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436227200000",
    "number": "1386027456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311 WAKARUSA DR STE 1000",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660491741",
            "telephone_number": "785-749-1300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311 WAKARUSA DR STE 1000",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660491741",
            "telephone_number": "785-749-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKWUONE",
        "first_name": "BANAKA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-07",
        "last_updated": "2015-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "11-05135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2015; 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.