Kea Sports Company

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

KEA SPORTS COMPANY

Practice address

806 W Jones St
Plano, IL 60545-1839

Phone

(613) 917-9322

NPI assigned

Apr 20, 2024

Last updated

Apr 20, 2024By 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

Terrance Hooks

Title

Manager

Phone

(613) 917-9318

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1713571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713571200000",
    "number": "1497500748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "806 W JONES ST",
            "city": "PLANO",
            "state": "IL",
            "postal_code": "605451839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "806 W JONES ST",
            "city": "PLANO",
            "state": "IL",
            "postal_code": "605451839",
            "telephone_number": "613-917-9322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEA SPORTS COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-20",
        "last_updated": "2024-04-20",
        "certification_date": "2024-04-20",
        "status": "A",
        "authorized_official_last_name": "HOOKS",
        "authorized_official_first_name": "TERRANCE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "613-917-9318"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Plano, IL
• Providers in Plano, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2024; 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.