BOOST PHYSICAL THERAPY AND SPORTS PERFORMANCE (NPI# 1578913380) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578913380 |
| Entity Type | Organization |
| Organization Name | BOOST PHYSICAL THERAPY AND SPORTS PERFORMANCE |
| Practice Address |
1102 W 101st Ter Apt F Kansas City MO 64114-4289 |
| Practice Telephone | 3149747669 |
| Enumeration Date | 2016-06-13 |
| Last Update Date | 2016-06-13 |
| Authorized Official Name | CLINT HOOPER (CHIEF OPERATING OFFICER) |
| Authorized Official Telephone | 9403907222 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
11-05331 | KS | Ambulatory Health Care Facilities |
| Street Address |
1102 W 101ST TER APT F |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64114-4289 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164055968 | Nova Home Infusion, LLC | Home Infusion | 7611 State Line Road, Suite 130 B, Kansas City, MO 64114 | 2020-02-20 |
| 1770011017 | Rene Thomsen | Counselor | 222 W Gregory Blvd Ste 120, Kansas City, MO 64114 | 2017-05-31 |
| 1114452075 | Accent Home Health Care LLC | In Home Supportive Care | 7817 Wornall Rd, Kansas City, MO 64114 | 2017-04-27 |
| 1174982599 | Mei Dodson | Contractor | 8901 Washington St, Kansas City, MO 64114 | 2016-02-12 |
| 1851784805 | Sarah Jeannette Gulledge | Registered Nurse | 930 Carondelet Dr., Suite 201, Kansas City, MO 64114 | 2015-03-16 |
| 1376936591 | Corey Bess | Podiatrist | 1010 Carondelet Dr Ste 301, Kansas City, MO 64114 | 2015-03-12 |
| 1013339753 | Kati Mayer | Physical Therapist | 10008 Walnut Dr., #202, Kansas City, MO 64114 | 2014-01-15 |
| 1619270311 | Gavett Burch | Marriage & Family Therapist | 222 W Gregory Blvd., Suite #319, Kansas City, MO 64114 | 2010-12-18 |
| 1679873046 | Ken Kidd Inc Dba Miracle-ear | Hearing Instrument Specialist | 1148 W. 103rd St, Kansas City, MO 64114 | 2010-11-01 |
| 1316264161 | Elizabeth Vasquez | Physician Assistant | 1004 Carondelet Dr., Suite 330, Kansas City, MO 64114 | 2010-05-03 |
| Find all providers in zip 64114 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659996585 | Suellen Caroline Cruz Johnson | Clinic/Center | 1120 E 77th Ter, Kansas City, MO 64131-1939 | 2020-06-16 |
| 1508362799 | Occupational Health Centers of Kansas Pa | Clinic/Center | 1333 Meadowlark Ln Ste 200, Kansas City, KS 66102-1200 | 2018-04-05 |
| 1326582560 | Brandy Palacios | Clinic/Center | 1501 N 79th St, Kansas City, KS 66112-2183 | 2016-12-07 |
| 1154501385 | Advanced Physical Therapy and Sports Rehabilitation, P.a. | Clinic/Center | 6419 N Cosby Ave, Kansas City, MO 64151-2378 | 2007-11-05 |
| 1902936917 | Occupational Health Centers of Kansas Pa | Clinic/Center | 720 Oak Street, Kansas City, MO 64106 | 2007-03-07 |
| 1003946096 | Occupational Health Centers of Kansas Pa | Clinic/Center | 6401 E Front St, Kansas City, MO 64120-1356 | 2007-03-07 |
| 1396871364 | Occupational Health Centers of Kansas Pa | Clinic/Center | 4214 Kansas Ave, Kansas City, KS 66106-1119 | 2007-02-26 |
| 1366591216 | Hyperbaric Healing Institute | Clinic/Center | 10060 Nw Prairie View Rd, Kansas City, MO 64153-1344 | 2007-01-09 |
| 1457858524 | Occupational Health Centers of Kansas Pa | Clinic/Center | 6501 E Commerce Ave Ste 110, Kansas City, MO 64120-2176 | 2018-04-06 |
| 1720583693 | The Vital Six L.c. | Clinic/Center | 717 Broadway Blvd Apt 308, Kansas City, MO 64105-2093 | 2018-03-24 |
| Find all providers in KANSAS CITY | ||||
| City | KANSAS CITY |
| Zip Code | 64114 |
Please comment or provide details below to improve the information on BOOST PHYSICAL THERAPY AND SPORTS PERFORMANCE.
| 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.