Active NPI
Amber Dawn Neal, DPT
- Physical Therapist
- Raytown, MO
National Provider Identifier
1790030450
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2012023611
- Practice address
- 5130 Woodson Rd
Raytown, MO 64133-3065 - Phone
- (816) 743-8953
- NPI assigned
- Jul 18, 2012
- Sex
- Female
- 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 | 2012023611 | MO | Primary |
Addresses
Primary practice location
5130 Woodson Rd
Raytown, MO 64133-3065
Mailing address
811 Grand Blvd
#705
Kansas City, MO 64106-1938
Phone (660) 247-2827
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1342569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1377216000000",
"number": "1790030450",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "811 GRAND BLVD",
"address_2": "#705",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641061938",
"telephone_number": "660-247-2827"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5130 WOODSON RD",
"city": "RAYTOWN",
"state": "MO",
"postal_code": "641333065",
"telephone_number": "816-743-8953"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEAL",
"first_name": "AMBER",
"middle_name": "DAWN",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-18",
"last_updated": "2013-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MO",
"license": "2012023611",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Raytown, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.