Individual provider Active NPI

Jonathan V Thao, DPT, ATC

  • Physical Therapist
  • Kansas City, MO
National Provider Identifier
1649018334
Registry record updated Jan 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2024045334 Issued in MO
Practice address
333 E Gregory Blvd
Kansas City, MO 64114-1123
Phone
(816) 313-8899
Fax
(816) 897-2391
NPI assigned
Jul 17, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2026

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 11-07679 KS
Physical Therapist 225100000X 2024045334 MO Primary

Addresses

Primary practice location

333 E Gregory Blvd
Kansas City, MO 64114-1123

Mailing address

2122 York Rd Ste 300
Oak Brook, IL 60523-1925
Phone (630) 575-6200

Other practice location 1

9496 E State Route 350
Raytown, MO 64133-6509
Phone (816) 358-5383

Other practice location 2

715 Medical Center Dr Ste 300
Newton, KS 67114-9056
Phone (316) 283-7187

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, MO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250813002851 KS Practitioner - Physical Therapist in Private Practice 2365940764 Reassigns benefits to 1 organization
I20260129001788 MO Practitioner - Physical Therapist in Private Practice 2365940764 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced PT LLCGroup PAC ID 3678524709, 84 clinicians
Athletico LTDGroup PAC ID 4789602681, 2,187 clinicians

Practice addresses (Care Compare)

1410 N Woodlawn Blvd D
Advanced PT Derby Meadowlark
Derby, KS 67037-2953
Phone (316) 202-0970

333 E Gregory Blvd
Athletico Physical Therapy
Kansas City, MO 64114-1123
Phone (816) 313-8899

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2024045334MOMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced PT LLC Physical Therapist CurrentSince Aug 6, 2025 Accepting new patients
Advanced PT LLC Physical Therapist CurrentSince Aug 6, 2025 Accepting new patients
Advanced PT of Newton, LLC Physical Therapist CurrentSince Jul 1, 2024 Accepting new patients
Athletico LTD Physical Therapist CurrentSince Jan 26, 2026 Accepting new patients
Athletico LTD Physical Therapist CurrentSince Jan 26, 2026 Accepting new patients
Advanced PT LLC Physical Therapist Current Accepting new patients

Locations

2122 York Rd
Ste 300
Oak Brook, IL 60523
Phone (630) 575-6250

1410 N Woodlawn Blvd
Ste D
Derby, KS 67037
Phone (316) 202-0970

715 Medical Center Dr
Ste 300
Newton, KS 67114
Phone (316) 283-7187

3730 N Ridge Rd
Ste 500
Wichita, KS 67205
Phone (316) 440-4901

1650 Lyndon Farm Ct
Ste 300
Louisville, KY 40223
Phone (726) 202-3039

333 E Gregory Blvd
Kansas City, MO 64114
Phone (816) 313-8899

229 S Stewart Rd
Ste E3
Liberty, MO 64068
Phone (816) 656-3695

2007 W Foxwood Dr
Ste D
Raymore, MO 64083
Phone (816) 265-8116

1832 Wentzville Pkwy
Wentzville, MO 63385
Phone (636) 327-7110

Organizations & group practices 7

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": "1721174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768435200000",
    "number": "1649018334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2122 YORK RD STE 300",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231925",
            "telephone_number": "630-575-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 E GREGORY BLVD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641141123",
            "telephone_number": "816-313-8899",
            "fax_number": "816-897-2391"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9496 E State Route 350",
            "address_purpose": "LOCATION",
            "city": "Raytown",
            "state": "MO",
            "postal_code": "641336509",
            "country_code": "US",
            "telephone_number": "816-358-5383",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "715 Medical Center Dr Ste 300",
            "address_purpose": "LOCATION",
            "city": "Newton",
            "state": "KS",
            "postal_code": "671149056",
            "country_code": "US",
            "telephone_number": "316-283-7187",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THAO",
        "first_name": "JONATHAN",
        "middle_name": "V",
        "credential": "DPT, ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-07-17",
        "last_updated": "2026-01-15",
        "certification_date": "2026-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "11-07679",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2024045334",
            "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 Jan 15, 2026; 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.