Organization Active NPI

Bio-Dynamix Physical Therapy LLC

  • Physical Therapist
  • Kansas City, MO
National Provider Identifier
1992091664
Registry record updated Jul 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
BIO-DYNAMIX PHYSICAL THERAPY LLC
Practice address
4812 NE 62ND St
Kansas City, MO 64119-5065
Phone
(816) 695-7906
NPI assigned
Jun 21, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2011

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

Authorized official

Name
John Mandacina II, DPT
Title
Owner/Doctor of Physical Therapy
Phone
(816) 695-7906

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

4812 NE 62ND St
Kansas City, MO 64119-5065

Mailing address

556 Rush Creek Pkwy
Suite C
Liberty, MO 64068-9609

National Provider Directory

National Provider Directory

Locations

556 Rush Creek Pkwy
Ste C
Liberty, MO 64068
Phone (816) 256-2887

NPI Registry JSON

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

{
    "created_epoch": "1308614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311638400000",
    "number": "1992091664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "556 RUSH CREEK PKWY",
            "address_2": "SUITE C",
            "city": "LIBERTY",
            "state": "MO",
            "postal_code": "640689609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4812 NE 62ND ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641195065",
            "telephone_number": "816-695-7906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIO-DYNAMIX PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-21",
        "last_updated": "2011-07-26",
        "status": "A",
        "authorized_official_last_name": "MANDACINA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER/DOCTOR OF PHYSICAL THERAPY",
        "authorized_official_telephone_number": "816-695-7906",
        "authorized_official_name_suffix": "II",
        "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": []
}

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 Jul 26, 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.