Organization
HEALTH ADMINISOURCE, L.L.C.
Active
Organization
HEALTH ADMINISOURCE, L.L.C.
Active
Other names
Kansas City Physical Therapy Group
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA A DUNCAN (ADMINISTRATOR)
(913) 384-5600
Entity
Organization
Contact information
Practice address
5799 BROADMOOR ST, STE 300, MISSION, KS 66202-2421
(913) 384-5600
Mailing address
5799 BROADMOOR ST, STE 300, MISSION, KS 66202-2421
(913) 384-5600
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14112990
U.S. DEPT OF LABOR
KS
01
—
14112991
U.S. DEPT OF LABOR
MO
01
—
16278037
BLUE CROSS BLUE SHIELD
—
01
—
4000127
MULTIPLAN PROVIDER NUMBER
—
01
—
440660
HEALTHLINK PROVIDER NUMBE
—
01
—
534021
BLUE CROSS BLUE SHIELD KS
KS
01
—
6400222
UNITED HEALTHCARE PROVIDE
—
01
—
731060
HEALTHCARE PREFERRED
—
01
—
8271336
AETNA PROVIDER NUMBER
—
01
—
T660000
MEDICARE PART B
KS
01
—
T660000A
MEDICARE PART B
MO
Enumeration date
06/01/2005
Last updated
11/26/2008
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