Organization Active NPI

Modern Physical Therapy PC

  • Physical Therapist
  • Kansas City, MO
National Provider Identifier
1831136662
Registry record updated Jul 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
MODERN PHYSICAL THERAPY PC
Practice address
335 NW Barry Rd
Kansas City, MO 64155-2740
Phone
(816) 468-5278
Fax
(816) 285-5278
NPI assigned
Jun 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2014

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

Authorized official

Name
Lisa Rene Aulner
Title
Office Manager
Phone
(816) 468-5278

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

335 NW Barry Rd
Kansas City, MO 64155-2740

Mailing address

335 NW Barry Rd
Kansas City, MO 64155-2740
Phone (816) 468-5278

Other identifiers 1

IdentifierTypeStateIssuer
34828017OtherMOBCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041220000743 MO Part B Supplier - Physical/Occupational Therapy Group in Private Practice 7315905502 Receives reassigned benefits from 18 practitioners
Practice locations: Kansas City, MO; Parkville, MO

National Provider Directory

National Provider Directory

Locations

8708 NE Flintlock Rd
Kansas City, MO 64157
Phone (816) 468-5278

335 NW Barry Rd
Kansas City, MO 64155
Phone (816) 468-5278

6112 N Highway 9
Ste B
Parkville, MO 64152
Phone (816) 468-5278

8875 Clark Ave
Parkville, MO 64152
Phone (816) 468-5278

Practitioners & affiliated clinicians

Practitioners 24

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

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406505600000",
    "number": "1831136662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 NW BARRY RD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641552740",
            "telephone_number": "816-468-5278",
            "fax_number": "816-285-5278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 NW BARRY RD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641552740",
            "telephone_number": "816-468-5278",
            "fax_number": "816-285-5278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERN PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-01",
        "last_updated": "2014-07-28",
        "status": "A",
        "authorized_official_last_name": "AULNER",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "RENE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "816-468-5278"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "34828017",
            "state": "MO"
        }
    ],
    "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 Jul 28, 2014; 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.