NPIMap

Organization Active NPI

Trumove Physical Therapy

  • Physical Therapist
  • Overland Park, KS
National Provider Identifier
1669501631
Registry record updated Sep 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11-03562 Issued in KS
Legal business name
TRUMOVE PHYSICAL THERAPY
Practice address
7279 W 105TH St
Overland Park, KS 66212-2515
Phone
(913) 642-7746
Fax
(913) 642-7745
NPI assigned
Mar 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2020

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

Authorized official

Name
Miss Jamie Evonne Woodruff
Title
Revenue Cycle Manager
Phone
(913) 642-7746

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 11-03562 KS Primary

Addresses

Primary practice location

7279 W 105TH St
Overland Park, KS 66212-2515

Mailing address

7279 W 105TH St
Overland Park, KS 66212-2515
Phone (913) 642-7746

Other names 2

  • TruMove Physical Therapy Doing business as
  • Sport & Spine Physical Therapy, P.A. Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070709000483 KS Part B Supplier - Clinic/Group Practice 3274633060 Receives reassigned benefits from 9 practitioners
Practice locations: Overland Park, KS; Olathe, KS

National Provider Directory

National Provider Directory

Locations

1495 S Mahaffie St
Olathe, KS 66062
Phone (913) 642-7746

8929 Metcalf Ave
Overland Park, KS 66212
Phone (913) 640-7746

7279 W 105th St
Overland Park, KS 66212
Phone (913) 642-7746

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600819200000",
    "number": "1669501631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7279 W 105TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662122515",
            "telephone_number": "913-642-7746",
            "fax_number": "913-642-7745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7279 W 105TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662122515",
            "telephone_number": "913-642-7746",
            "fax_number": "913-642-7745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRUMOVE PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2020-09-23",
        "certification_date": "2020-09-23",
        "status": "A",
        "authorized_official_last_name": "WOODRUFF",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_middle_name": "EVONNE",
        "authorized_official_title_or_position": "REVENUE CYCLE MANAGER",
        "authorized_official_telephone_number": "913-642-7746",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "11-03562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TruMove Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sport & Spine Physical Therapy, P.A.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Overland Park, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2020; 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.