Organization Active NPI

Children's Physical Therapy Associates

  • Physical Therapist
  • Overland Park, KS
National Provider Identifier
1386917003
Registry record updated Feb 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
T-03179 Issued in KS
Legal business name
CHILDREN'S PHYSICAL THERAPY ASSOCIATES
Practice address
6600 College Boulevard
Suite 307
Overland Park, KS 66211
Phone
(913) 345-1997
Fax
(913) 345-1990
NPI assigned
Feb 10, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2012

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

Authorized official

Name
Mrs. Teresa M Petersen, MS, PT, PCS
Title
Director
Phone
(913) 345-1997

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X T-03179 KS Primary

Addresses

Primary practice location

6600 College Boulevard
Suite 307
Overland Park, KS 66211

Mailing address

6600 College Boulevard
Suite 307
Overland Park, KS 66211
Phone (913) 345-1997

National Provider Directory

National Provider Directory
Tax ID family
Children's Physical Therapy Associates5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6600 College Blvd
Ste 307
Overland Park, KS 66211
Phone (913) 345-1997

NPI Registry JSON

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

{
    "created_epoch": "1328832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328832000000",
    "number": "1386917003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6600 COLLEGE BOULEVARD",
            "address_2": "SUITE 307",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "66211",
            "telephone_number": "913-345-1997",
            "fax_number": "913-345-1990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6600 COLLEGE BOULEVARD",
            "address_2": "SUITE 307",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "66211",
            "telephone_number": "913-345-1997",
            "fax_number": "913-345-1990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S PHYSICAL THERAPY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-10",
        "last_updated": "2012-02-10",
        "status": "A",
        "authorized_official_last_name": "PETERSEN",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "913-345-1997",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS, PT, PCS"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "T-03179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 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.