SHANNON PRUITT (NPI# 1447608658) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447608658 |
| Entity Type | Individual |
| Full Name | SHANNON PRUITT |
| Credential | PT |
| Practice Address |
851 Nw 45th St #209 Kansas City MO 64116-4628 |
| Practice Telephone | 8164521633 |
| Practice Fax Number | 8164521635 |
| Mailing Telephone | 8164521633 |
| Mailing Fax Number | 8164521635 |
| Enumeration Date | 2016-05-27 |
| Last Update Date | 2016-05-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 2005036205 | MO | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | PT LICENSE # | 2005036205 | 01 |
| Street Address |
851 NW 45TH ST #209 |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64116-4628 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629041413 | Alex Richard Mcentire | Counselor | 851 Nw 45th St, Suite 104, Kansas City, MO 64116-4628 | 2006-02-10 |
| 1366803223 | Todd Cartwright | Specialist | 851 Nw 45th St, Suite 209, Kansas City, MO 64116-4628 | 2016-03-18 |
| 1912367442 | Shanna Kotschwar | Physical Therapist | 851 Nw 45th St, Suite 209, Kansas City, MO 64116-4628 | 2016-02-25 |
| 1063899086 | Kristin Poppe | Physical Therapist | 851 Nw 45th St, #208, Kansas City, MO 64116-4628 | 2015-04-28 |
| 1962891465 | Caring 4 Family, Inc | In Home Supportive Care | 851 Nw 45th St, Suite 207, Kansas City, MO 64116-4628 | 2015-01-21 |
| 1174911937 | Julia A Wesley | Counselor | 851 Nw 45th St, Suite 100, Kansas City, MO 64116-4628 | 2015-01-02 |
| 1972907483 | Ann White | Physical Therapy Assistant | 851 Nw 45th St, Kansas City, MO 64116-4628 | 2014-10-13 |
| 1801138441 | Mindy Ann Frederick | Physical Therapist | 851 Nw 45th St, Kansas City, MO 64116-4628 | 2013-03-21 |
| 1720393531 | Marilyn Roberts | Registered Nurse | 851 Nw 45th St, Kansas City, MO 64116-4628 | 2010-08-17 |
| 1548587652 | Kari Schuster | Physical Medicine & Rehabilitation | 851 Nw 45th St, Ste208, Kansas City, MO 64116-4628 | 2010-04-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326503830 | Ladeja Holland | Student in an Organized Health Care Education/Training Program | 4421 N Oak Trfy, Kansas City, MO 64116 | 2019-02-08 |
| 1982179388 | Casady's Counseling | Counselor | 1201 Nw Briarcliff Pkwy Ste 200 Office233, Kansas City, MO 64116 | 2018-10-11 |
| 1427543818 | Amanda E Foster | Physical Therapist | 3810 N Mulberry Drive 202, Kansas City, MO 64116 | 2018-06-27 |
| 1992290555 | Lucas J Mathes | Physician Assistant | 2790 Clay Edwards Drive, Suite 650, North Kansas City, MO 64116 | 2018-06-26 |
| 1952828816 | Danielle Marie Rush | Physical Therapist | 1501 Nw 38th St., Apt. 305, Kansas City, MO 64116 | 2017-08-23 |
| 1992229629 | Ankita Bhakta | Physical Therapy Assistant | 4407 N Mulberry Dr, Kansas City, MO 64116 | 2017-08-03 |
| 1720430945 | Deon Hicks | Physical Therapist | 851 Nw 45th Street, Suite 209, Kansas City, MO 64116 | 2016-07-12 |
| 1851712228 | Cindy Eldridge | Counselor | 1201 Nw Briarcliff Pkwy Ste 200, Kansas City, MO 64116 | 2014-01-02 |
| 1841629904 | Jamie Lyn Jackson | Specialist/Technologist | 2790 Clay Edwards Dr. Ste #650, North Kansas City, MO 64116 | 2013-11-08 |
| 1487099388 | Lisa M Grasing | Family Medicine | 4150 N. Mulberry Dr, Suite 160, Kansas City, MO 64116 | 2013-05-06 |
| Find all providers in zip 64116 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174139778 | Nicole Weaver | Physical Therapist | 5775 Nw 64th Ter Ste 101, Kansas City, MO 64151-3945 | 2020-09-18 |
| 1649883869 | Jena Marie Brophy | Physical Therapist | 2 Emanuel Cleaver II Blvd, Kansas City, MO 64112-1654 | 2020-08-27 |
| 1205445780 | Jordan Barr | Physical Therapist | 1000 E 68th Street, Kansas City, MO 64131 | 2020-07-30 |
| 1689296865 | Bethany Peterson | Physical Therapist | 701 E 63rd St Ste G10, Kansas City, MO 64110-3305 | 2020-05-11 |
| 1821620857 | Max Powers | Physical Therapist | 6311 N Cosby Ave, Kansas City, MO 64151-2344 | 2020-02-07 |
| 1316587884 | Abdalghani A Yahya | Physical Therapist | 4148 Booth Pl Apt 1, Kansas City, KS 66103-3151 | 2020-01-13 |
| 1861033888 | Athletico Ltd | Physical Therapist | 4029 Mill St, Kansas City, MO 64111-3008 | 2019-10-01 |
| 1073161675 | Erica Pruett | Physical Therapist | 601 E 63rd St Ste 230, Kansas City, MO 64110-3303 | 2019-08-28 |
| 1043862329 | Khoa Lam | Physical Therapist | 3514 Jefferson St # St307, Kansas City, MO 64111-2803 | 2019-07-16 |
| 1912464199 | Christie Peterfish | Physical Therapist | 4400 Broadway Ste 408, Kansas City, MO 64111-3342 | 2019-02-25 |
| Find all providers in KANSAS CITY | ||||
| City | KANSAS CITY |
| Zip Code | 64116 |
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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.