Individual provider Active NPI

John F Throckmorton III, PT

  • Physical Therapist
  • Kansas City, MO
National Provider Identifier
1952358624
Registry record updated Mar 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2004023013 Issued in MO
Practice address
9501 N Oak Trfy
Suite 201
Kansas City, MO 64155-2256
Phone
(816) 468-5278
Fax
(816) 285-5278
NPI assigned
May 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 3587 KS
Physical Therapist 225100000X 2004023013 MO Primary

Addresses

Primary practice location

9501 N Oak Trfy
Suite 201
Kansas City, MO 64155-2256

Mailing address

9501 N Oak Trfy
Suite 201
Kansas City, MO 64155-2256
Phone (816) 468-5278

Other identifiers 1

IdentifierTypeStateIssuer
141051OtherKSBCBS KS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3587KSMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Aspire Rehab Center, LLC Physical Therapist Past Accepting new patients
Modern Physical Therapy PC Physical Therapist PastSince Sep 1, 2004 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299110400000",
    "number": "1952358624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9501 N OAK TRFY",
            "address_2": "SUITE 201",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641552256",
            "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": "9501 N OAK TRFY",
            "address_2": "SUITE 201",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641552256",
            "telephone_number": "816-468-5278",
            "fax_number": "816-285-5278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THROCKMORTON",
        "first_name": "JOHN",
        "middle_name": "F",
        "name_suffix": "III",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-28",
        "last_updated": "2011-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "3587",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2004023013",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS KS",
            "identifier": "141051",
            "state": "KS"
        }
    ],
    "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 Mar 3, 2011; 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.