Robert Cory Faris, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2006014628 Issued in MO

Practice address

100 NE Tudor Rd 110
Lees Summit, MO 64086-5601

Phone

(816) 554-6003

Fax

(816) 554-6013

NPI assigned

Jul 10, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northland Physical Therapy and Rehab Services IncGroup PAC ID 1850370453, 120 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Northland Physical Therapy & Rehab Services, Inc

  • Physical Therapist
  • N Kansas City, MO
  • NPI 1740273218
  Medicare reassignment Care Compare group
• KC Chiro, LLC

  • Chiropractor
  • Lenexa, KS
  • NPI 1235564899
  NPD (past)

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436227200000",
    "number": "1598799488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "526NEVIEWPARK DR",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640867105",
            "telephone_number": "816-456-3306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 NE TUDOR RD 110",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640865601",
            "telephone_number": "816-554-6003",
            "fax_number": "816-554-6013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARIS",
        "first_name": "ROBERT",
        "middle_name": "CORY",
        "name_prefix": "Mr.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2015-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2006014628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Family Care at Arbor Walk, LLC
• Family Health Specialist of Lee'S Summit, LLC
• Xinli Fan, LMFT, LCMFT
• Sarah A Fann, PHARM.D.
• Hernan Guillermo Farias, DC
• Jenna Marie Farmer
• Annette Farr, OTR/L
• Kristine Farrell
• Kayla Dawn Farrill
• Margaret Elizabth Farris, OTR/L

• Physical Therapist in Lees Summit, MO
• Providers in Lees Summit, MO by specialty
• Physical Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.