Active NPI
Kansas Multispecialty Care LLC
- Physical Medicine & Rehabilitation Physician
- Overland Park, KS
National Provider Identifier
1679329692
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- Legal business name
- KANSAS MULTISPECIALTY CARE LLC
- Practice address
- 10520 Barkley St
Overland Park, KS 66212-1811 - Phone
- (816) 229-1941
- Fax
- (816) 229-7085
- NPI assigned
- Apr 29, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Aston Goldsworthy, DC, FNP-BC
- Title
- Ceo
- Phone
- (816) 674-2693
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | Primary | ||
| General Practice Physician | 208D00000X | |||
| Interventional Pain Medicine Physician | 208VP0014X | |||
| Physical Therapist | 225100000X | |||
| Occupational Therapist | 225X00000X | |||
| Occupational Health Nurse Practitioner | 363LX0106X |
Addresses
Primary practice location
10520 Barkley St
Overland Park, KS 66212-1811
Mailing address
8809 SE 1St St
Lees Summit, MO 64064-7858
Phone (816) 674-2693
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1714348800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1714348800000",
"number": "1679329692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8809 SE 1ST ST",
"city": "LEES SUMMIT",
"state": "MO",
"postal_code": "640647858",
"telephone_number": "816-674-2693",
"fax_number": "816-229-7085"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10520 BARKLEY ST",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662121811",
"telephone_number": "816-229-1941",
"fax_number": "816-229-7085"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KANSAS MULTISPECIALTY CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-04-29",
"last_updated": "2024-04-29",
"certification_date": "2024-04-29",
"status": "A",
"authorized_official_last_name": "GOLDSWORTHY",
"authorized_official_first_name": "ASTON",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "816-674-2693",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC, FNP-BC"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": null,
"license": null,
"primary": true
},
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": false
},
{
"code": "208VP0014X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LX0106X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Occupational Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Overland Park, KS
- Kansas CVS Pharmacy LLC
- Kansas CVS Pharmacy, L.L.C.
- Kansas Dental Center PA
- Kansas Hospice Care LLC
- Kansas in-Home Care LLC
- Kansas Pain Management
- Kansas Professional Medical Services LLC
- Kansas Pulmonary and Sleep Specialists Chartered
- Kansas Pulmonary and Sleep Specialists, LLC
- Kansas Regencares Medical Center LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.