# JOHN KNOX VILLAGE

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** JOHN KNOX VILLAGE
- **Other names:** Village Outpatient Therapy, Outpatient Therapy by John Knox Village
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1609573922
- **Legal business name:** JOHN KNOX VILLAGE
- **Authorized official:** ANTHONY COLUMBATTO (VICE PRESIDENT, HEALTH SERVICES)
- **Authorized official phone:** (816) 347-2030

## Contact information

- **Practice address:** 600 NW PRYOR RD, LEES SUMMIT, MO 64081-1104
- **Practice address phone:** (816) 347-2738
- **Mailing address:** 400 NW MURRAY RD, LEES SUMMIT, MO 64081-1498
- **Mailing address phone:** (816) 347-2109

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QH0700X | Hearing and Speech Clinic/Center | — | NULL | — |
| 261QP2000X | Physical Therapy Clinic/Center | — | NULL | Yes |
| 261QX0100X | Occupational Medicine Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 02/08/2023
- **Last updated:** 03/24/2025