Organization
ADVANCED PHYSICAL THERAPY AND SPORTS REHABILITATION, P.A.
Active
Parent organization
ADVANCED PHYSICAL THERAPY AND SPORTS REHABILITATION, P.A.
Organization subpart
Yes
Provider details
NPI number
Legal business name
ADVANCED PHYSICAL THERAPY AND SPORTS REHABILITATION, P.A.
Authorized official
MS. DONNA LEE NEWMAN RPT (PRESIDENT)
(816) 220-0223
Entity
Organization
Contact information
Practice address
6324 NW BARRY RD, KANSAS CITY, MO 64154-2531
(816) 741-4525
(816) 220-9099
Mailing address
220 N.W. R.D. MIZE ROAD, SUITE B203, BLUE SPRINGS, MO 64014-2540
(816) 220-0223
(816) 220-9099
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
01459
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
L560000A
MEDICARE GROUP NUMBER
MO
Enumeration date
11/05/2007
Last updated
10/28/2022
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