NPIMap

Organization Active NPI

Sparkphysio, LLC

  • Physical Therapy Clinic/Center
  • Kansas City, MO
National Provider Identifier
1780374397
Registry record updated May 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
SPARKPHYSIO, LLC
Practice address
6400 N Fisk CT
Kansas City, MO 64151-1379
Phone
(816) 200-2692
NPI assigned
May 9, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2023

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

Authorized official

Name
Noelle Teemant, PT, DPTNPI 1700195955
Title
Owner
Phone
(816) 200-2692

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

6400 N Fisk CT
Kansas City, MO 64151-1379

Mailing address

6400 N Fisk CT
Kansas City, MO 64151-1379
Phone (816) 200-2692

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1683590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683590400000",
    "number": "1780374397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 N FISK CT",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641511379",
            "telephone_number": "816-200-2692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 N FISK CT",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641511379",
            "telephone_number": "816-200-2692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPARKPHYSIO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-09",
        "last_updated": "2023-05-09",
        "certification_date": "2023-05-09",
        "status": "A",
        "authorized_official_last_name": "TEEMANT",
        "authorized_official_first_name": "NOELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "816-200-2692",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "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 May 9, 2023; 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.