MR. JOSEPH HARLEY PETTITT (NPI# 1154703742) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154703742 |
| Entity Type | Individual |
| Full Name | MR. JOSEPH HARLEY PETTITT |
| Credential | ATC |
| Practice Address |
8880 Ne 82nd Ter Kansas City MO 64158-1313 |
| Mailing Address |
8200 Dexter Creek Ln Unit 203 Cordova TN 38016-2066 |
| Practice Telephone | 8164378122 |
| Enumeration Date | 2015-06-19 |
| Last Update Date | 2015-06-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
8880 NE 82ND TER |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64158-1313 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063481901 | Greg Tracy Goertzen | Occupational Therapist | 8880 Ne 82nd Ter, Kansas City, MO 64158-1313 | 2006-03-14 |
| 1588151674 | Saint Luke's Neighborhood Clinics, LLC | Family Medicine | 8880 Ne 82nd Ter, Kansas City, MO 64158-1313 | 2018-04-16 |
| 1982138574 | Angie Schreck | Occupational Therapist | 8880 Ne 82nd Ter, Kansas City, MO 64158-1313 | 2017-04-20 |
| 1770029449 | Brian James Walstrom | Physical Therapy Assistant | 8880 Ne 82nd Ter, Kansas City, MO 64158-1313 | 2017-01-18 |
| 1447606355 | Dianna Sinni | Dietitian, Registered | 8880 Ne 82nd Ter, Kansas City, MO 64158-1313 | 2016-05-10 |
| 1629424536 | Cara Leigh Harbstreet | Dietitian, Registered | 8880 Ne 82nd Ter, Kansas City, MO 64158-1313 | 2016-05-10 |
| 1215310131 | Lisa Rossow | Occupational Therapist | 8880 Ne 82nd Ter, Kansas City, MO 64158-1313 | 2015-07-09 |
| 1750764684 | Beau Sigrist | Physical Therapy Assistant | 8880 Ne 82nd Ter, Kansas City, MO 64158-1313 | 2015-07-09 |
| 1255714176 | Matthew Craine | Physical Therapist | 8880 Ne 82nd Ter, Kansas City, MO 64158-1313 | 2015-07-09 |
| 1326421272 | Kristen Thatcher | Registered Nurse | 8880 Ne 82nd Ter, Kansas City, MO 64158-1313 | 2015-07-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285118950 | Vera Whole Health, Wa PC | Clinic/Center | 8350 N. Church Road, Kansas City, MO 64158 | 2018-09-19 |
| 1083135008 | Garrett Leland Coffelt | Physical Therapist | 9223 Ne 152 Highway, Kansas City, MO 64158 | 2017-06-29 |
| 1336500537 | Danielle Leeper | Dentist | 9101 Ne 82nd Ter, Kansas City, MO 64158 | 2016-03-15 |
| 1780056135 | Bryan Watanabe Dds Liberty Dental Group PC | Dentist | 8291 N Booth Avenue, Kansas City, MO 64158 | 2015-10-26 |
| 1235551771 | Julie G. Vantasell | Nurse Practitioner | 9151 Ne 81st, Ste 105, Kansas City, MO 64158 | 2014-01-17 |
| 1942551247 | Kansas City Surgical Arts LLC | Dentist | 8080 North Flintlock Road, Kansas City, MO 64158 | 2012-09-26 |
| 1558659920 | Massage Heights Shoal Creek | Health Maintenance Organization | 9225 Ne 152 Hwy, Liberty, MO 64158 | 2011-07-19 |
| 1245427954 | Maureen Graham Giraldo | Social Worker | 9601 Ne Barry Rd Ste 220, Kansas City, MO 64158 | 2007-09-26 |
| 1861695090 | D. Scott Thomas | Dentist | 9051 Ne 81st Terrace, Suite 220, Kansas City, MO 64158 | 2007-06-06 |
| 1538262688 | Richard Bradley Gaik | Dentist | 8568 N Church Rd, Kansas City, MO 64158 | 2006-09-06 |
| Find all providers in zip 64158 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073127932 | Chet Brian North | Specialist/Technologist | 1913 Pinnacle Way, Kansas City, KS 66111-7100 | 2020-09-08 |
| 1275144891 | Tiffany Hallacy | Specialist/Technologist | 5014 Walnut St Apt D, Kansas City, MO 64112-2641 | 2020-08-17 |
| 1942822606 | Rachel Suzanne Allen | Specialist/Technologist | 3018 S 65th St, Kansas City, KS 66106-5210 | 2020-05-15 |
| 1073177804 | Estelle Louise Brooks | Specialist/Technologist | 7020 Ewing Ave, Kansas City, MO 64133-5535 | 2019-04-26 |
| 1588128565 | Amanda Patrice Calfas | Specialist/Technologist | 5815 Ne 48th St, Kansas City, MO 64119-3899 | 2019-01-24 |
| 1801361316 | Clayton Cloud | Specialist/Technologist | 5030 Holmes Street, Kansas City, MO 64110 | 2018-10-11 |
| 1902393622 | Jessica Mcilhenney | Specialist/Technologist | 3716 Ne 46th Ter, Kansas City, MO 64117-1248 | 2018-04-18 |
| 1992205819 | Andrew Parker | Specialist/Technologist | 2800 Rock Creek Pkwy, Kansas City, MO 64117-2521 | 2018-02-16 |
| 1710439104 | Megan Hampel | Specialist/Technologist | 207 W 97th St, Kansas City, MO 64114-4042 | 2016-11-01 |
| 1861949794 | Jared Sheets | Specialist/Technologist | 8516 Ne 99th Ter, Kansas City, MO 64157-7829 | 2016-09-08 |
| Find all providers in KANSAS CITY | ||||
| City | KANSAS CITY |
| Zip Code | 64158 |
Please comment or provide details below to improve the information on MR. JOSEPH HARLEY PETTITT.
| 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.