Individual provider Active NPI

Christopher E Egorugwu

  • Physical Therapist
  • Kansas City, MO
National Provider Identifier
1700446143
Registry record updated Feb 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
4119 NW Barry Rd
Kansas City, MO 64154-1100
Phone
(816) 452-4488
Fax
(816) 452-4491
NPI assigned
Jun 18, 2019
Last updated
Feb 1, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2023

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 Primary

Addresses

Primary practice location

4119 NW Barry Rd
Kansas City, MO 64154-1100

Mailing address

5601 NE Antioch Rd
Gladstone, MO 64119-2300

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190820003200 MO Practitioner - Physical Therapist in Private Practice 0547598120 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Restore Muscle and Joint LLCGroup PAC ID 9830346824, 12 clinicians

Practice addresses (Care Compare)

4119 NW Barry Rd
Kansas City, MO 64154-1100
Phone (816) 452-4488

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Carousel Adult Day Care LLC Physical Therapist CurrentSince Feb 23, 2025 Accepting new patients
Restore Muscle and Joint, LLC CurrentSince Jul 18, 2019 Accepting new patients

Locations

4119 NW Barry Rd
Kansas City, MO 64154
Phone (816) 452-4488

5419 E 36th St
Kansas City, MO 64128
Phone (816) 920-7003

5601 N Antioch Rd
Ste 4
Kansas City, MO 64119
Phone (816) 452-4488

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1560816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675209600000",
    "number": "1700446143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5601 NE ANTIOCH RD",
            "city": "GLADSTONE",
            "state": "MO",
            "postal_code": "641192300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4119 NW BARRY RD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641541100",
            "telephone_number": "816-452-4488",
            "fax_number": "816-452-4491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGORUGWU",
        "first_name": "CHRISTOPHER",
        "middle_name": "E",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-18",
        "last_updated": "2023-02-01",
        "certification_date": "2023-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2023; 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.