NPIMap

Organization Active NPI

Supplemental

  • Rehabilitation Hospital Unit
  • Lee's Summit, MO
National Provider Identifier
1659522829
Registry record updated Oct 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Hospital UnitTaxonomy code 273Y00000X
License
2007023014 Issued in MO
Legal business name
SUPPLEMENTAL
Practice address
20 NE Saint Lukes Blvd
Suite 100
Lees Summit, MO 64086-6001
Phone
(816) 347-5748
Fax
(816) 347-5798
NPI assigned
Oct 7, 2008
Last updated
Oct 7, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2008

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

Authorized official

Name
Mrs. Kerri Lyn Swick, A.S.
Title
Physical Therapist Assistant
Phone
(816) 347-5748

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital Unit 273Y00000X 2007023014 MO Primary

Addresses

Primary practice location

20 NE Saint Lukes Blvd
Suite 100
Lees Summit, MO 64086-6001

Mailing address

313B SE Melody LN
Lees Summit, MO 64063-2915
Phone (816) 682-7197

National Provider Directory

National Provider Directory
Tax ID family
Supplemental Health Care42 organizations share this tax ID, including this one

Other organizations with this tax ID 41

Organizations that report the same tax identification number in the National Provider Directory.

View all 41

NPI Registry JSON

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

{
    "created_epoch": "1223337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223337600000",
    "number": "1659522829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313B SE MELODY LN",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640632915",
            "telephone_number": "816-682-7197",
            "fax_number": "816-347-5798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 NE SAINT LUKES BLVD",
            "address_2": "SUITE 100",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640866001",
            "telephone_number": "816-347-5748",
            "fax_number": "816-347-5798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPPLEMENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-07",
        "last_updated": "2008-10-07",
        "status": "A",
        "authorized_official_last_name": "SWICK",
        "authorized_official_first_name": "KERRI",
        "authorized_official_middle_name": "LYN",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST ASSISTANT",
        "authorized_official_telephone_number": "816-347-5748",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "A.S."
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": "MO",
            "license": "2007023014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lee's Summit, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2008; 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.