NPIMap

Organization Active NPI

Paul Thomas Physical Therapy,LLC

Doing business as Champion Performance & Physical Therapy, LLC

  • Physical Therapist
  • Prairie Village, KS
National Provider Identifier
1861642035
Registry record updated Aug 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
PAUL THOMAS PHYSICAL THERAPY,LLC
Doing business as
Champion Performance & Physical Therapy, LLC
Practice address
2106 W 75TH St
Prairie Village, KS 66208-3503
Phone
(913) 291-2290
Fax
(913) 291-2449
NPI assigned
Sep 24, 2008
Last updated
Aug 21, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2024

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

Authorized official

Name
Hope A Hillyard, DPTNPI 1235477225
Title
Owner
Phone
(913) 291-2290

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 Primary

Addresses

Primary practice location

2106 W 75TH St
Prairie Village, KS 66208-3503

Mailing address

7510 State Line Rd Ste a
Prairie Village, KS 66208-3400
Phone (913) 291-2290

Other names 1

  • CHAMPION PERFORMANCE & PHYSICAL THERAPY, LLC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160125001633 KS Part B Supplier - Physical/Occupational Therapy Group in Private Practice 5991844300 Receives reassigned benefits from 6 practitioners
Practice locations: Prairie Village, KS

National Provider Directory

National Provider Directory

Locations

2106 W 75th St
Prairie Vlg, KS 66208
Phone (913) 291-2290

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1222214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724198400000",
    "number": "1861642035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7510 STATE LINE RD STE A",
            "city": "PRAIRIE VILLAGE",
            "state": "KS",
            "postal_code": "662083400",
            "telephone_number": "913-291-2290",
            "fax_number": "913-291-2449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2106 W 75TH ST",
            "city": "PRAIRIE VILLAGE",
            "state": "KS",
            "postal_code": "662083503",
            "telephone_number": "913-291-2290",
            "fax_number": "913-291-2449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL THOMAS PHYSICAL THERAPY,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-24",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A",
        "authorized_official_last_name": "HILLYARD",
        "authorized_official_first_name": "HOPE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "913-291-2290",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHAMPION PERFORMANCE & PHYSICAL THERAPY, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Prairie Village, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2024; 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.