NPIMap

Organization Active NPI

Summit Strength Physical Therapy, LLC

  • Physical Therapist
  • Lees Summit, MO
National Provider Identifier
1801841671
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
01806 Issued in MO
Legal business name
SUMMIT STRENGTH PHYSICAL THERAPY, LLC
Practice address
800 NW Main St
Lees Summit, MO 64086-9311
Phone
(816) 524-7040
Fax
(816) 524-7057
NPI assigned
May 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. Scott G Knoche, PTNPI 1417048240
Title
Member/Physical Therapist
Phone
(816) 524-7040

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 TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 01806 MO Primary

Addresses

Primary practice location

800 NW Main St
Lees Summit, MO 64086-9311

Mailing address

800 NW Main St Ste 100
Lees Summit, MO 64086-9311
Phone (816) 524-7040

Other practice location 1

1300 NW State Route 7 Ste 100
Blue Springs, MO 64014-2282
Phone (816) 524-7040

Other identifiers 1

IdentifierTypeStateIssuer
34716017OtherMOBLUE CROSS BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050111000662 MO Part B Supplier - Clinic/Group Practice 8224086772 Receives reassigned benefits from 14 practitioners
Practice locations: Blue Springs, MO; Lees Summit, MO

National Provider Directory

National Provider Directory

Locations

1300 SE Adams Dairy Pkwy
Blue Springs, MO 64014
Phone (816) 524-7040

1241 SW State Route 7
Ste 100
Blue Springs, MO 64014
Phone (816) 295-5196

1300 NW State Route 7
Ste 100
Blue Springs, MO 64014
Phone (816) 524-7040

800 NW Main St
Ste 100
Lees Summit, MO 64086
Phone (816) 524-7040

1207 NE Rice Rd
Lees Summit, MO 64086
Phone (816) 769-6932

Practitioners & affiliated clinicians

Practitioners 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1801841671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 NW MAIN ST STE 100",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640869311",
            "telephone_number": "816-524-7040",
            "fax_number": "816-524-7057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 NW MAIN ST",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640869311",
            "telephone_number": "816-524-7040",
            "fax_number": "816-524-7057"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1300 NW State Route 7 Ste 100",
            "address_purpose": "LOCATION",
            "city": "Blue Springs",
            "state": "MO",
            "postal_code": "640142282",
            "country_code": "US",
            "telephone_number": "816-524-7040",
            "fax_number": "816-524-7057",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SUMMIT STRENGTH PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2022-07-21",
        "certification_date": "2022-07-06",
        "status": "A",
        "authorized_official_last_name": "KNOCHE",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "MEMBER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "816-524-7040",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "01806",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "34716017",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lees Summit, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.

Verify at the official NPI Registry.