Matthew D McKenna, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2023020721 Issued in MO

Practice address

1825 E North Ave
Belton, MO 64012-2128

Phone

(816) 775-4747

Fax

(833) 964-0159

NPI assigned

Jul 7, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Advanced Physical Therapy and Sports Rehabilitation, P.a.

  • Physical Therapy Clinic/Center
  • Kansas City, MO
  • NPI 1154501385

  Physical Therapist

  NPD

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

{
    "created_epoch": "1594080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701993600000",
    "number": "1649898693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 219297",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641219297",
            "telephone_number": "816-775-4747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 E NORTH AVE",
            "city": "BELTON",
            "state": "MO",
            "postal_code": "640122128",
            "telephone_number": "816-775-4747",
            "fax_number": "833-964-0159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKENNA",
        "first_name": "MATTHEW",
        "middle_name": "D",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-07",
        "last_updated": "2023-12-08",
        "certification_date": "2023-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "1106463",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2023020721",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "1106463",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kevin A McBee, D.C.
• Jonah Nathanael McCandless, D.C.
• Amanda McCune
• Nicola McDonald
• Leslie M McDowell, LMT
• Kevin M McNamara, D.D.S.
• Adam McNeil, PHARM.D.
• Mary Kathleen McQueen, FNP
• Menm, LLC
• Abigail Morgan Michels, AUD

• Physical Therapist in Belton, MO
• Providers in Belton, MO by specialty
• Physical Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2023; 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.