Organization Active NPI

Palazzo Physical Therapy Or P2T

  • Rehabilitation Clinic/Center
  • Lenexa, KS
National Provider Identifier
1619505880
Registry record updated May 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
PALAZZO PHYSICAL THERAPY OR P2T
Practice address
15203 W. 84TH Terrace
Lenexa, KS 66219
Phone
(913) 449-0178
NPI assigned
Apr 1, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2021

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

Authorized official

Name
Ms. Stephanie S Mathis, PT
Title
Owner
Phone
(913) 449-0178

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X Primary

Addresses

Primary practice location

15203 W. 84TH Terrace
Lenexa, KS 66219

Mailing address

15203 W. 84TH Terrace
Lenexa, KS 66219
Phone (913) 449-0178

Other identifiers 1

IdentifierTypeStateIssuer
1578865242OtherKSNPI

Other names 1

  • P2T Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address smathis@palazzo.com

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1585699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621814400000",
    "number": "1619505880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15203 W. 84TH TERRACE",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "66219",
            "telephone_number": "913-449-0178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15203 W. 84TH TERRACE",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "66219",
            "telephone_number": "913-449-0178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALAZZO PHYSICAL THERAPY OR P2T",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-01",
        "last_updated": "2021-05-24",
        "certification_date": "2021-05-24",
        "status": "A",
        "authorized_official_last_name": "MATHIS",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "913-449-0178",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1578865242",
            "state": "KS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "smathis@palazzo.com",
            "affiliation": "N",
            "endpointDescription": "email address",
            "address_1": "15203 W 84th Ter",
            "city": "Lenexa",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662191811",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "P2T",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "P2T",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lenexa, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2021; 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.