Prime Physical Therapy

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

PRIME PHYSICAL THERAPY

Practice address

1161 NE Rice Rd
Lees Summit, MO 64086-6788

Phone

(816) 402-2178

Fax

(816) 600-2278

NPI assigned

Apr 8, 2022

Organization subpart

No

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

Authorized official

Name

Kyo Hwang, PT, DPTNPI 1114662541

Title

Member

Phone

(816) 402-2178

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Locations

Practitioners 3

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

• Kyo Hwang, PT, DPT

  • Physical Therapist
  • Lees Summit, MO
  • NPI 1114662541
  Medicare reassignment Care Compare group NPD Authorized official
• Micheal Agbaje, DPT

  • Physical Therapist
  • Belton, MO
  • NPI 1366210825
  Medicare reassignment Care Compare group NPD
• Mary Jane Sirna, PTA

  • Athletic Trainer
  • Overland Park, KS
  • NPI 1679767255
  NPD

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

{
    "created_epoch": "1649376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660262400000",
    "number": "1831831007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1416 NE TIMBERLINE CIR",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640642073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1161 NE RICE RD",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640866788",
            "telephone_number": "816-402-2178",
            "fax_number": "816-600-2278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-08",
        "last_updated": "2022-08-12",
        "certification_date": "2022-08-12",
        "status": "A",
        "authorized_official_last_name": "HWANG",
        "authorized_official_first_name": "KYO",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "816-402-2178",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaitlyn Presko
• Kara Michelle Pressly I, PTA
• Prestige Hand and Physical Therapy LLC
• Teressa L Price, FNP
• Primary Care Plus, LLC
• Professional Consulting & Coaching LLC
• Prolific Physical Therapy LLC
• Emily Prosser
• Casey S Prough, MD
• Steven J Prstojevich, MD DDS

• Physical Therapist in Lees Summit, MO
• Providers in Lees Summit, MO by specialty
• Physical Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.