Individual provider Active NPI

Edward Scott Knapp, PT

  • Physical Therapist
  • Lees Summit, MO
National Provider Identifier
1699866491
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1313 Issued in MO
Practice address
800 NW Main St Ste 100
Lees Summit, MO 64086-9311
Phone
(816) 524-7040
Fax
(816) 524-7057
NPI assigned
Sep 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1313 MO Primary

Addresses

Primary practice location

800 NW Main St Ste 100
Lees Summit, MO 64086-9311

Mailing address

800 NW Main St Ste 100
Lees Summit, MO 64086-9311
Phone (816) 524-7040

Other identifiers 1

IdentifierTypeStateIssuer
20029048OtherMOBLUE CROSS BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050211000528 MO Practitioner - Physical Therapist in Private Practice 9830141480 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Knapp Physical Therapy LLCGroup PAC ID 0648575282, 9 clinicians

Practice addresses (Care Compare)

806 SW Blue Pkwy
Lees Summit, MO 64063-3805
Phone (816) 272-1427

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1313MOMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Knapp Physical Therapy Physical Therapist Current Accepting new patients
Knapp Physical Therapy, LLC Physical Therapist CurrentSince Jan 1, 2016 Accepting new patients
Exercise Therapy Consultants, Inc. Physical Therapist PastSince Oct 29, 2018 Accepting new patients

Locations

806 SW Blue Pkwy
Lees Summit, MO 64063
Phone (816) 272-1427

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699866491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 NW MAIN ST STE 100",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640869311",
            "telephone_number": "816-524-7040",
            "fax_number": "816-524-7057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 NW MAIN ST STE 100",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640869311",
            "telephone_number": "816-524-7040",
            "fax_number": "816-524-7057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNAPP",
        "first_name": "EDWARD",
        "middle_name": "SCOTT",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "1313",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "20029048",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lees Summit, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.