Blue Ridge Physical Therapy

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

115120 Issued in MO

Legal business name

BLUE RIDGE PHYSICAL THERAPY

Practice address

373 W 101St Ter
Ste 200
Kansas City, MO 64114-4408

Phone

(816) 739-0884

Fax

(816) 795-3366

NPI assigned

Apr 8, 2016

Last updated

Apr 8, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael Woodward, MPTNPI 1457463804

Title

Owner

Phone

(816) 739-0884

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Michael Lee Woodward, PT

  • Physical Therapist
  • Independence, MO
  • NPI 1457463804
  NPD (past) Authorized official

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

{
    "created_epoch": "1460073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460073600000",
    "number": "1871957522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 S ARROWHEAD DR",
            "address_2": "STE B",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640556952",
            "telephone_number": "816-739-0884",
            "fax_number": "816-795-3366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "373 W 101ST TER",
            "address_2": "STE 200",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641144408",
            "telephone_number": "816-739-0884",
            "fax_number": "816-795-3366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE RIDGE PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-08",
        "last_updated": "2016-04-08",
        "status": "A",
        "authorized_official_last_name": "WOODWARD",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "816-739-0884",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MO",
            "license": "115120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blue Diamond Care
• Blue Diamond Medical Staffing
• Blue Gems ABA Mo LLC
• Blue Oval LLC
• Blue Ridge Nursing Home
• Blue Ridge Surgical Center, LLC
• Blue River Care Center, LLC
• Blue River Mo Consulting LLC (Polaris Health & Wellness of Blue River)
• Blue River Rehabilitation Center, LLC (Blue River Rehabilitation Center)
• Blue Valley Industries (Discovering Prospects)

• Physical Therapy Clinic/Center in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Physical Therapy Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.