Prolific Physical Therapy LLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

PROLIFIC PHYSICAL THERAPY LLC

Doing business as

Prolific PT Health and Wellness

Practice address

129 SE 3Rd St
Lees Summit, MO 64063-2719

Phone

(816) 810-1849

NPI assigned

Jan 15, 2024

Organization subpart

No

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

Authorized official

Name

Isaac Logan Miller

Title

Owner

Phone

(816) 810-1849

Specialties & licenses 2

Addresses

Other names 1

• Prolific PT Health and Wellness Doing business as

Locations

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

{
    "created_epoch": "1705276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706486400000",
    "number": "1720859978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 SE 3RD ST",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640632719",
            "telephone_number": "816-810-1849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 SE 3RD ST",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640632719",
            "telephone_number": "816-810-1849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROLIFIC PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-15",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-29",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "ISAAC",
        "authorized_official_middle_name": "LOGAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "816-810-1849"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prolific PT Health and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Prestige Hand and Physical Therapy LLC
• Teressa L Price, FNP
• Primary Care Plus, LLC
• Prime Physical Therapy
• Professional Consulting & Coaching LLC
• Emily Prosser
• Casey S Prough, MD
• Steven J Prstojevich, MD DDS
• Abigail Prudden, AUD
• Rochelle Kaye Pruett, M.A., PLPC, NCC

• Occupational Therapist in Lee's Summit, MO
• Providers in Lee's Summit, MO by specialty
• Occupational Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.