Boost Physical Therapy & Sport Perforance

Primary specialty

Sports Physical TherapistTaxonomy code 2251S0007X

License

2012028521 Issued in MO

Legal business name

BOOST PHYSICAL THERAPY & SPORT PERFORANCE

Practice address

1254 SE Century Dr
Lees Summit, MO 64081-3286

Phone

(816) 524-1442

NPI assigned

Aug 28, 2012

Organization subpart

No

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

Authorized official

Name

Travis Neff

Title

Owner/Physical Therapist

Phone

(816) 795-0434

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1346112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346112000000",
    "number": "1881942571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1254 SE CENTURY DR",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640813286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1254 SE CENTURY DR",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640813286",
            "telephone_number": "816-524-1442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOOST PHYSICAL THERAPY & SPORT PERFORANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-28",
        "last_updated": "2012-08-28",
        "status": "A",
        "authorized_official_last_name": "NEFF",
        "authorized_official_first_name": "TRAVIS",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "816-795-0434"
    },
    "taxonomies": [
        {
            "code": "2251S0007X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Sports",
            "state": "MO",
            "license": "2012028521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laurel A Bondi, DPM
• Robert A Bondi, DPM
• Danette Bonecutter, FNP-C
• Miranda Michelle Bonney, SLP
• Lisa Lynn Boone, RN
• Boost Sports Performance, LLC (Boost Physical Therapy & Sports Performance)
• Amanda Le Booth, MD
• Guy Boots, RVT
• Allison Mae Borden, OTR/L
• Nicole Bowen, NP-C

• Sports Physical Therapist in Lee's Summit, MO
• Providers in Lee's Summit, MO by specialty
• Sports Physical Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2012; 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.