Manual Therapy Center, LLC

Primary specialty

Sports Medicine (Neuromusculoskeletal Medicine) PhysicianTaxonomy code 204C00000X

Legal business name

MANUAL THERAPY CENTER, LLC

Practice address

19401 E US Highway 40
Suite 200
Independence, MO 64055-5451

Phone

(816) 350-0515

Fax

(816) 350-0516

NPI assigned

Jun 18, 2006

Last updated

Apr 20, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Douglas M. Kelling IV, D.O.NPI 1679503098

Title

Physician/Medical Director

Phone

(816) 350-0515

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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.

• Douglas Martin Kelling, D.O.

  • Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
  • Kansas City, KS
  • NPI 1679503098
  NPD Authorized official
• James Burrow Jr., APRN-BC

  • Family Nurse Practitioner
  • Lexington, TN
  • NPI 1659819688
  NPD (past)
• Kenneth A Newman, MD

  • Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
  • Shawnee Mission, KS
  • NPI 1730114109
  NPD (past)

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334880000000",
    "number": "1437194925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19401 E US HIGHWAY 40",
            "address_2": "SUITE 200",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640555451",
            "telephone_number": "816-350-0515",
            "fax_number": "816-350-0516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19401 E US HIGHWAY 40",
            "address_2": "SUITE 200",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640555451",
            "telephone_number": "816-350-0515",
            "fax_number": "816-350-0516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANUAL THERAPY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-18",
        "last_updated": "2012-04-20",
        "status": "A",
        "authorized_official_last_name": "KELLING",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PHYSICIAN/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "816-350-0515",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "IV",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "204C00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine, Sports Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Renee Malone, LCSW
• Nicole Mandacina
• Bishop Bowman Manlimos
• Cheryl Lee Mann, LPC LCSW
• Jaclyn Nicole Mansfield
• Shahzaib I Maqbool, MBBS
• Marian Hope (Marian Hope Academy)
• Mark Dental, LLC
• Mark R. Killman, M.D. P.C.
• Mark Smith, Professional Services, LLC

• Sports Medicine (Neuromusculoskeletal Medicine) Physician in Independence, MO
• Providers in Independence, MO by specialty
• Sports Medicine (Neuromusculoskeletal Medicine) Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.