Active NPI
Timothy Allen Forbes, RPT
- Physical Therapist
- Lees Summit, MO
National Provider Identifier
1700243201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 104867
- Practice address
- 101 SE Chelsea Dr
Lees Summit, MO 64063-2442 - Phone
- (816) 520-6922
- Fax
- (816) 272-5488
- NPI assigned
- Jan 28, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 104867 | MO | Primary |
Addresses
Primary practice location
101 SE Chelsea Dr
Lees Summit, MO 64063-2442
Mailing address
101 SE Chelsea Dr
Lees Summit, MO 64063-2442
Phone (816) 520-6922
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 104867 | MO | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1453939200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1453939200000",
"number": "1700243201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 SE CHELSEA DR",
"city": "LEES SUMMIT",
"state": "MO",
"postal_code": "640632442",
"telephone_number": "816-520-6922",
"fax_number": "816-272-5488"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 SE CHELSEA DR",
"city": "LEES SUMMIT",
"state": "MO",
"postal_code": "640632442",
"telephone_number": "816-520-6922",
"fax_number": "816-272-5488"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORBES",
"first_name": "TIMOTHY",
"middle_name": "ALLEN",
"credential": "RPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-01-28",
"last_updated": "2016-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MO",
"license": "104867",
"primary": true
}
],
"identifiers": [],
"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 Jan 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.