Prime Physical Therapy, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

PRIME PHYSICAL THERAPY, LLC

Practice address

22378 S Harrison St
Spring Hill, KS 66083-3148

Phone

(913) 592-9101

NPI assigned

Jul 6, 2022

Last updated

Jul 12, 2022By 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

Dr. Brent Melroy, PTNPI 1790854701

Title

Owner

Phone

(620) 770-1248

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brent Melroy, PT

  • Orthopedic Physical Therapist
  • Leawood, KS
  • NPI 1790854701
  Medicare reassignment Care Compare group NPD Authorized official
• Cullen Edwin Grabast, DPT

  • Physical Therapist
  • Spring Hill, KS
  • NPI 1841020823
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1657065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657584000000",
    "number": "1639802887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14915 W 82ND TER",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662155804",
            "telephone_number": "620-770-1248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22378 S HARRISON ST",
            "city": "SPRING HILL",
            "state": "KS",
            "postal_code": "660833148",
            "telephone_number": "913-592-9101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-06",
        "last_updated": "2022-07-12",
        "certification_date": "2022-07-12",
        "status": "A",
        "authorized_official_last_name": "MELROY",
        "authorized_official_first_name": "BRENT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "620-770-1248",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyssa Lea O'Connor, DC
• Amy Osburn, LPC
• Amy Owens, OTR
• Dharaben Patel, PT, DPT,CERT. DN
• Lynette M Pfingsten, LPC, LSC
• Provision Transportation LLC
• Queen-Morris Ventures LLC (Queen's Price Chopper Pharmacy #7)
• Andrea Reece, LMSW
• Jennfier Saylor, LPC
• Michelle Schriner

• Physical Therapy Clinic/Center in Spring Hill, KS
• Providers in Spring Hill, KS by specialty
• Physical Therapy Clinic/Center in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.