Premier Physical Therapy and Sports Performance, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

PREMIER PHYSICAL THERAPY AND SPORTS PERFORMANCE, LLC

Practice address

1909 N 14TH Ave Ste C
Dodge City, KS 67801-2365

Phone

(620) 338-8633

Fax

(620) 338-8121

NPI assigned

Nov 2, 2022

Organization subpart

Yes

Parent organization

PREMIER PHYSICAL THERAPY AND SPORTS REHABILITATION, LLCAs reported in NPPES

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

Authorized official

Name

Dr. Aaron Max Eugene Stapleton, DPTNPI 1114511318

Title

Co-Owner, Physical Therapist

Phone

(620) 338-8633

Specialties & licenses 1

Addresses

Other names 1

• P.T. Works Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Part of

Premier Physical Therapy and Sports Performance LLC

Practitioners 4

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

• Aaron Max Eugene Stapleton, DPT

  • Physical Therapist
  • Dodge City, KS
  • NPI 1114511318
  Medicare reassignment Care Compare group NPD Authorized official
• Juliann Denton

  • Occupational Therapist
  • Dodge City, KS
  • NPI 1245668136
  Medicare reassignment Care Compare group NPD
• Jeremy L Luthi, DPT

  • Physical Therapist
  • Dodge City, KS
  • NPI 1598294589
  Medicare reassignment Care Compare group NPD
• Grant Trembly, DPT

  • Physical Therapist
  • Derby, KS
  • NPI 1902209364
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1667347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672272000000",
    "number": "1679280267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1909 N 14TH AVE STE C",
            "city": "DODGE CITY",
            "state": "KS",
            "postal_code": "678012365",
            "telephone_number": "620-338-8633",
            "fax_number": "620-338-8121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1909 N 14TH AVE STE C",
            "city": "DODGE CITY",
            "state": "KS",
            "postal_code": "678012365",
            "telephone_number": "620-338-8633",
            "fax_number": "620-338-8121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER PHYSICAL THERAPY AND SPORTS PERFORMANCE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PREMIER PHYSICAL THERAPY AND SPORTS REHABILITATION, LLC",
        "enumeration_date": "2022-11-02",
        "last_updated": "2022-12-29",
        "certification_date": "2022-12-29",
        "status": "A",
        "authorized_official_last_name": "STAPLETON",
        "authorized_official_first_name": "AARON",
        "authorized_official_middle_name": "MAX EUGENE",
        "authorized_official_title_or_position": "CO-OWNER, PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "620-338-8633",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "ptworks@yahoo.com",
            "affiliation": "N",
            "endpointDescription": "private email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1909 N 14th Ave Ste C",
            "city": "Dodge City",
            "state": "KS",
            "country_code": "US",
            "postal_code": "678012365",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "P.T. Works",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "P.T. Works",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Physical Therapy Works LLC
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• Jeremy John Presley, M.D.
• Professional Radiology Services, P.a.
• Lexus Shay Pryor
• Quint Chiropractic, LLC

• Physical Therapist in Dodge City, KS
• Providers in Dodge City, KS by specialty
• Physical Therapist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 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.