SUMMIT PEDIATRIC THERAPY CORP (NPI# 1508304403) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508304403 |
| Entity Type | Organization |
| Organization Name | SUMMIT PEDIATRIC THERAPY CORP |
| Practice Address |
204 Ne Chipman Rd Lees Summit MO 64063-2404 |
| Practice Telephone | 8166075333 |
| Mailing Telephone | 8166075333 |
| Enumeration Date | 2017-02-10 |
| Last Update Date | 2017-02-23 |
| Authorized Official Name | MELISA I HENDREN (OWNER) |
| Authorized Official Telephone | 8166075333 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251K00000X | Public Health or Welfare | Agencies |
| Street Address |
204 NE CHIPMAN RD |
| City | LEES SUMMIT |
| State | MO |
| Zip Code | 64063-2404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649548827 | Melisa Imelda Hendren | Occupational Therapy Assistant | 204 Ne Chipman Rd, Lees Summit, MO 64063-2404 | 2011-12-02 |
| 1477160265 | Melissa Kehoe | Counselor | 204 Ne Chipman Rd, Lees Summit, MO 64063-2404 | 2020-09-25 |
| 1689210239 | Jessica R Ginther | Counselor | 204 Ne Chipman Rd, Lees Summit, MO 64063-2404 | 2019-11-19 |
| 1477195279 | Adam White | Counselor | 204 Ne Chipman Rd, Lees Summit, MO 64063-2404 | 2019-10-13 |
| 1760048128 | Cara Gruhala | Counselor | 204 Ne Chipman Rd, Lees Summit, MO 64063-2404 | 2019-05-11 |
| 1588130124 | Jessica Lynn Lahasky | Music Therapist | 204 Ne Chipman Rd, Lees Summit, MO 64063-2404 | 2018-10-22 |
| 1538677240 | Emma Carr | Occupational Therapist | 204 Ne Chipman Rd, Lees Summit, MO 64063-2404 | 2018-01-16 |
| 1386150381 | Allison Paige Lehnhoff | Occupational Therapy Assistant | 204 Ne Chipman Rd, Lees Summit, MO 64063-2404 | 2017-12-28 |
| 1700301264 | Kinsey Ann Maddox | Occupational Therapist | 204 Ne Chipman Rd, Lees Summit, MO 64063-2404 | 2017-08-06 |
| 1821536848 | Kaitlin Terrel | Speech-Language Pathologist | 204 Ne Chipman Rd, Lees Summit, MO 64063-2404 | 2017-02-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649895533 | Ian Christopher Fekete | Student in an Organized Health Care Education/Training Program | Lee's Summit Medical Center, 2100 Se Blue Pkwy, Lee's Summit, MO 64063 | 2020-06-16 |
| 1083268403 | Rachelle Colyer | Physical Therapist | 298 Sw Blue Pkwy, Lee's Summit, MO 64063 | 2019-07-25 |
| 1326504200 | Brenda Michelle Brown | Physical Therapist | 2160 Se Blue Parkway Addington Place, 2160 Seblue Parkway, Lee's Summit, MO 64063 | 2019-02-15 |
| 1528545068 | Bayada Home Health Care, Inc. | Home Health | 600 Sw Jefferson St Ste 101, Lees Summit, MO 64063 | 2018-07-27 |
| 1972089118 | Summit Integrative Dental (bromley, D.d.s. and Broyles, D.d.s.), P.C. | Dentist | 688 Se Bayberry Lane, Suite 101, Lee's Summit, MO 64063 | 2018-07-11 |
| 1104327576 | Molly Moore Mcgraw Davidson | Nurse Practitioner | 2000 Se Blue Pkwy Ste 270a, Lees Summit, MO 64063 | 2018-02-21 |
| 1821507591 | Joshua Greenwell | Chiropractor | 1634 Se Blue Pkwy, Lee's Summit, MO 64063 | 2017-09-26 |
| 1457870651 | Tlc Home Healthcare Consulting Inc | Registered Nurse | 109 Sw Madison St, Lee's Summit, MO 64063 | 2017-09-19 |
| 1053834622 | Kristin E Schwartz | Advanced Practice Midwife | 2000 Se Blue Pkwy Ste 220, Lees Summit, MO 64063 | 2017-07-25 |
| 1316493828 | Laura Ballantyne | Speech-Language Pathologist | 600 Se Miller St, Lees Summit, MO 64063 | 2016-08-26 |
| Find all providers in zip 64063 | ||||
| Taxonomy Code | 251K00000X |
| Grouping | Agencies |
| Classification | Public Health or Welfare |
| Definition to come... |
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| 1083192371 | Letis House Inc | Public Health or Welfare | 8407 Bradley Ct, Belton, MO 64012-2228 | 2018-07-30 |
| 1740775212 | Westside Clinic | Public Health or Welfare | 904 S 10th St Ste B, Saint Joseph, MO 64503-2400 | 2018-06-27 |
| 1417469537 | Knox County Health Department | Public Health or Welfare | 102 W Monticello St, Edina, MO 63537-1150 | 2017-10-30 |
| 1598208746 | Burnett Body Mechanics LLC | Public Health or Welfare | 1948e S Glenstone Ave, Suite 105, Springfield, MO 65804-2364 | 2016-11-21 |
| 1992163950 | Homeforgood LLC | Public Health or Welfare | 900 Nw Pink Hill Rd, Suite A, Blue Springs, MO 64015-7708 | 2016-02-05 |
| 1083088439 | Disability Determinations | Public Health or Welfare | 7545 S Lindbergh Blvd, 220, Saint Louis, MO 63125-4843 | 2015-11-23 |
| 1700203734 | Kansas City Quality Improvement Consortium Inc | Public Health or Welfare | 6000 N Oak Trfy Ste 300, Kansas City, MO 64118-5175 | 2014-03-27 |
| 1255763785 | Tri-county Counseling Services, Inc. | Public Health or Welfare | 701 Vandiver Dr, Columbia, MO 65202-2094 | 2013-08-07 |
| 1679913982 | Rex Consulting Group, Lc | Public Health or Welfare | 10505 E 64th Ter, Raytown, MO 64133-5312 | 2013-07-01 |
| Find all providers with the same taxonomy | ||||
| City | LEES SUMMIT |
| Zip Code | 64063 |
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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.