Organization Active NPI

Evidence in Practice Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Lenexa, KS
National Provider Identifier
1689398463
Registry record updated May 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
EVIDENCE IN PRACTICE PHYSICAL THERAPY LLC
Practice address
9558 Lackman Rd
Lenexa, KS 66219-1204
Phone
(913) 620-2435
NPI assigned
Sep 27, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2023

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

Authorized official

Name
John Christian, PT, DPTNPI 1902255037
Title
Member
Phone
(913) 620-2435

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

9558 Lackman Rd
Lenexa, KS 66219-1204

Mailing address

9558 Lackman Rd
Lenexa, KS 66219-1204
Phone (913) 620-2435

Other names 1

  • EIP Physical Therapy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230613003125 KS Part B Supplier - Physical/Occupational Therapy Group in Private Practice 7012374606 Receives reassigned benefits from 1 practitioner
Practice locations: Lenexa, KS

National Provider Directory

National Provider Directory

Locations

9558 Lackman Rd
Lenexa, KS 66219
Phone (913) 620-2435

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1664236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683763200000",
    "number": "1689398463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9558 LACKMAN RD",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662191204",
            "telephone_number": "913-620-2435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9558 LACKMAN RD",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662191204",
            "telephone_number": "913-620-2435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVIDENCE IN PRACTICE PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-27",
        "last_updated": "2023-05-11",
        "certification_date": "2023-05-11",
        "status": "A",
        "authorized_official_last_name": "CHRISTIAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "913-620-2435",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EIP Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "EIP Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lenexa, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2023; 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.