Individual provider Active NPI

William Jason Gearhart, DPT

  • Orthopedic Physical Therapist
  • Kansas City, MO
National Provider Identifier
1558770669
Registry record updated Mar 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
2014026956 Issued in MO
Practice address
2540 W Pennway St
Kansas City, MO 64108-2413
Phone
(913) 303-0032
NPI assigned
Aug 4, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2014025469 MO
Orthopedic Physical Therapist 2251X0800X 2014026956 MO Primary

Addresses

Primary practice location

2540 W Pennway St
Kansas City, MO 64108-2413

Mailing address

2540 W Pennway St
Kansas City, MO 64108-2413
Phone (913) 303-0032

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
2014025469MOMDPhysical Therapist
2014026956MOMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Vital Six L.C. CurrentSince Mar 27, 2022 Accepting new patients

Locations

2540 W Pennway St
Kansas City, MO 64108
Phone (913) 303-0032

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1407110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648166400000",
    "number": "1558770669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2540 W PENNWAY ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641082413",
            "telephone_number": "913-303-0032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2540 W PENNWAY ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641082413",
            "telephone_number": "913-303-0032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEARHART",
        "first_name": "WILLIAM",
        "middle_name": "JASON",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-04",
        "last_updated": "2022-03-25",
        "certification_date": "2022-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2014025469",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "MO",
            "license": "2014026956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2022; 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.