PURA VIDA THERAPY, LLC (NPI# 1053435024) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053435024 |
| Entity Type | Organization |
| Organization Name | PURA VIDA THERAPY, LLC |
| Practice Address |
12480 W 62nd Ter Ste 100 Shawnee KS 66216-1871 |
| Practice Telephone | 9137888888 |
| Mailing Telephone | 9137888888 |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2016-11-08 |
| Authorized Official Name | ALLEN CHILD (OWNER) |
| Authorized Official Telephone | 9137888888 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | PHYSICAL THERAPY | 3484 | 01 |
| Street Address |
12480 W 62ND TER STE 100 |
| City | SHAWNEE |
| State | KS |
| Zip Code | 66216-1871 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134123680 | Allen Anthony Child | Physical Therapist | 12480 W 62nd Ter Ste 100, Shawnee, KS 66216-1871 | 2005-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912431925 | Sara Fattaey | Social Worker | 7020 Constance St, Shawnee, KS 66216 | 2017-04-17 |
| 1952778631 | Martin Gale Volker | Pharmacist | 13550 W 63rd Street, Shawnee, KS 66216 | 2015-08-28 |
| 1952799827 | Susan Thomure | Physical Therapy Assistant | 6401 Long, Shawnee, KS 66216 | 2014-12-31 |
| 1144594326 | Tom Wigginton Medical, Inc. | Durable Medical Equipment & Medical Supplies | 12616 W 62nd Terr., Suite 115c, Shawnee, KS 66216 | 2012-03-06 |
| 1548572811 | Tyler Ross Young | Optometrist | 12129 Shawnee Mission Pkwy, Shawnee, KS 66216 | 2010-07-02 |
| 1689801441 | Charles Richard Ford | Ophthalmology | 4742 Black Swan Drive, Shawnee, KS 66216 | 2009-06-18 |
| 1659412237 | Carol J. Akers | Dentist | 12480 W 62nd Ter Ste 200, Shawnee, KS 66216 | 2007-02-08 |
| 1699788307 | Douglas A Anderson | Chiropractor | 12510 W 62nd Terrace, Ste #101, Shawnee, KS 66216 | 2006-08-14 |
| 1861442451 | Dayna M Brinckman | Dentist | 7407 Noland Rd, Shawnee, KS 66216 | 2006-05-12 |
| 1932164894 | Vintage Park At Lenexa LLC | Assisted Living Facility | 8710 Caenen Lake Road, Lenexa, KS 66216 | 2006-04-20 |
| Find all providers in zip 66216 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538609037 | Melissa Lanier | Specialist | 801 N. Louisa, Shawnee, OK 74801 | 2017-03-02 |
| 1932648623 | Jessica Smith | Specialist | 2202 W Benedict St, Shawnee, OK 74801-2138 | 2017-02-15 |
| 1811447048 | Kansas University Physicians, Inc. | Specialist | 7420 Switzer St, Shawnee, KS 66203-4550 | 2016-10-12 |
| 1003934415 | Donna Jean Burchfield | Specialist | 6733 Haskins St, Shawnee, KS 66216-2422 | 2007-03-26 |
| 1407857980 | Kirk A. Hance | Specialist | 7420 Switzer, Shawnee, KS 66203-4550 | 2005-08-09 |
| 1801152269 | Alecia Leanne Smith | Specialist | 7405 Renner Rd, Pod C, Shawnee, KS 66217-9414 | 2012-04-10 |
| 1548399637 | Shawnee Heart Center Inc | Specialist | 3208 Medical Park Drive, Shawnee, OK 74804 | 2007-03-05 |
| 1194812545 | Vascular Surgery Associates, P.a. | Specialist | 7420 Switzer, Shawnee, KS 66203-4550 | 2006-10-06 |
| 1790707529 | Marilyn R Richardson | Specialist | 12616 W 62nd Ter, Shawnee, KS 66216-1814 | 2006-07-24 |
| 1558363580 | Richard C. Arnspiger | Specialist | 7420 Switzer, Shawnee, KS 66203-4550 | 2005-08-10 |
| Find all providers in SHAWNEE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.