Active NPI
William Jason Gearhart, DPT
- Orthopedic Physical Therapist
- Kansas City, MO
National Provider Identifier
1558770669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 2014026956
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 2014025469 | MO | MD | Physical Therapist |
| 2014026956 | MO | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vital Six L.C. | Current | 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.
-
dba Vital Six Physical Therapy and Performance
- Physical Therapy Clinic/Center
- Kansas City, MO
- NPI 1720583693
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.