Active NPI
Exceed Physical Therapy LLC
- Physical Therapist
- Kahoka, MO
National Provider Identifier
1700912276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 117019
- Legal business name
- EXCEED PHYSICAL THERAPY LLC
- Practice address
- 120 South Johnson Street
Kahoka, MO 63445 - Phone
- (660) 727-2722
- Fax
- (660) 727-2725
- NPI assigned
- Feb 26, 2007
- Last updated
- Jul 6, 2020
- 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
- Shay Winters
- Title
- Manager
- Phone
- (660) 727-2722
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 117019 | MO | Primary |
Addresses
Primary practice location
120 South Johnson Street
Kahoka, MO 63445
Mailing address
120 South Johnson Street
Kahoka, MO 63445
Phone (660) 727-2722
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
120 S Johnson St
Kahoka, MO 63445
Phone (660) 342-8351
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Physical Therapist
- Kahoka, MO
- NPI 1366458416
-
- Occupational Therapist
- Kahoka, MO
- NPI 1720709595
-
- Physical Therapy Assistant
- Memphis, MO
- NPI 1184499691
-
- Occupational Therapy Assistant
- Kahoka, MO
- NPI 1700710472
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172448000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1593993600000",
"number": "1700912276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 SOUTH JOHNSON STREET",
"city": "KAHOKA",
"state": "MO",
"postal_code": "63445",
"telephone_number": "660-727-2722",
"fax_number": "660-727-2725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 SOUTH JOHNSON STREET",
"city": "KAHOKA",
"state": "MO",
"postal_code": "63445",
"telephone_number": "660-727-2722",
"fax_number": "660-727-2725"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EXCEED PHYSICAL THERAPY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-26",
"last_updated": "2020-07-06",
"certification_date": "2020-07-06",
"status": "A",
"authorized_official_last_name": "WINTERS",
"authorized_official_first_name": "SHAY",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "660-727-2722"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MO",
"license": "117019",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kahoka, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2020; 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.