Balance & Neurological Rehabilitation
Organization Active NPI Neurology Physical Therapist · Overland Park, KS
NPI 1962592741 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1962592741
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Neurology Physical Therapist 2251N0400X
- License
- 11-02878 (KS)
- Legal business name
- BALANCE & NEUROLOGICAL REHABILITATION
- Practice address
- 12000 W 110TH St
Suite 400
Overland Park, KS 66210-3938 - Phone
- (816) 679-7056
- Fax
- (816) 931-7392
- NPI assigned
- Oct 13, 2006
- Organization subpart
- No
Authorized official
- Name
- Deborah Cooke, PT PHD
- Title
- Owner
- Phone
- (816) 679-7056
National Provider Directory
Locations
12000 W 110th St
Ste 400
Overland Park, KS 66210
Phone (816) 679-7056
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physical Therapist |
2251N0400X | 0556 | MO | |
| Neurology Physical Therapist |
2251N0400X | 11-02878 | KS | Yes |
Addresses
Primary practice location
12000 W 110TH St
Suite 400
Overland Park, KS 66210-3938
Mailing address
12000 W 110TH St
Suite 400
Overland Park, KS 66210-3938
Phone (816) 679-7056
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 32911028 | Other | MO | BC/BS |
| 399054 | Other | KS | BC/BS |
Other providers in Overland Park, KS
- Sarah M Baker
- Shannon Baker
- William Cameron Baker
- Zachary Baker
- Amy Christine Bakken
- Balanced Body Chiropractic LLC
- Christa Ruble Balanoff
- Sarah Kay Baldassaro
- George Albert Baldwin
- Marci Denise Baldwin
All providers in Overland Park, KS · Neurology Physical Therapist in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.