Amanda Cain Physical Therapy, LLC
Organization Active NPI Physical Therapist · Shawnee, KS
NPI 1467250100 · NPPES record last updated Mar 7, 2025
Key facts
- NPI
- 1467250100
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- Legal business name
- AMANDA CAIN PHYSICAL THERAPY, LLC
- Practice address
- 21636 Midland Dr
Shawnee, KS 66218-9064 - Phone
- (702) 810-6378
- NPI assigned
- Mar 7, 2025
- Organization subpart
- No
Authorized official
- Name
- Amanda Cain
- Title
- Owner
- Phone
- (702) 810-6378
Practitioners 2
-
Amanda Marie Cain, PHYSICAL THERAPIST
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250404000317 | KS | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 9830613413 |
Receives reassigned benefits from 2 practitioners Practice locations: Shawnee, KS |
National Provider Directory
Locations
21636 Midland Dr
Shawnee, KS 66218
Phone (702) 568-0195
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | Yes |
Addresses
Primary practice location
21636 Midland Dr
Shawnee, KS 66218-9064
Mailing address
23108 W 45TH St
Shawnee, KS 66226-2496
Phone (702) 810-6378
Other providers in Shawnee, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.