Active NPI
Bryce Daniel Idoni, DPT
- Physical Therapist
- Independence, MO
National Provider Identifier
1467250746
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2025006431
- Practice address
- 23519 E 10TH St S
Independence, MO 64056-4211 - Phone
- (816) 359-2919
- NPI assigned
- Mar 4, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2025006431 | MO | Primary |
Addresses
Primary practice location
23519 E 10TH St S
Independence, MO 64056-4211
Mailing address
23519 E 10TH St S
Independence, MO 64056-4211
Phone (816) 359-2919
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2025006431 | MO | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1741046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741046400000",
"number": "1467250746",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23519 E 10TH ST S",
"city": "INDEPENDENCE",
"state": "MO",
"postal_code": "640564211",
"telephone_number": "816-359-2919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23519 E 10TH ST S",
"city": "INDEPENDENCE",
"state": "MO",
"postal_code": "640564211",
"telephone_number": "816-359-2919"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IDONI",
"first_name": "BRYCE",
"middle_name": "DANIEL",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-03-04",
"last_updated": "2025-03-04",
"certification_date": "2025-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MO",
"license": "2025006431",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Independence, MO
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- Stacy Renee Hyden
- Ashton Ibarra, RD, LD
- Muhammad Ibrahim, MD
- Hafiz Numan Ijaz, MBBS
- In Home Health LLC (ProMedica Hospice (Kansas City))
- In Home Health, LLC (ProMedica Hospice (Kansas City))
- In Home Health, LLC (ProMedica Hospice (Kansas City))
- Inclusions LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.