SUMMIT REHABILITATION AND WELLNESS CENTER, LLC (NPI# 1790766061) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790766061 |
| Entity Type | Organization |
| Organization Name | SUMMIT REHABILITATION AND WELLNESS CENTER, LLC |
| Practice Address |
294 Ne Tudor Rd Lees Summit MO 64086-5696 |
| Practice Telephone | 8165546003 |
| Practice Fax Number | 8165546013 |
| Mailing Telephone | 8165546003 |
| Mailing Fax Number | 8165546013 |
| Enumeration Date | 2005-11-14 |
| Last Update Date | 2012-01-11 |
| Authorized Official Name | MS. JANE BURNETT (OWNER) |
| Authorized Official Telephone | 8165546003 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| Street Address |
294 NE TUDOR RD |
| City | LEES SUMMIT |
| State | MO |
| Zip Code | 64086-5696 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891074662 | Stefanie C Berry | Physical Therapist | 294 Ne Tudor Rd, Lees Summit, MO 64086-5696 | 2011-08-11 |
| 1770790743 | Randall Herald | Massage Therapist | 294 Ne Tudor Rd, Lees Summit, MO 64086-5696 | 2007-05-17 |
| 1083759740 | Daniel Steven Lorenz | Physical Therapist | 294 Ne Tudor Rd, Lees Summit, MO 64086-5696 | 2007-02-20 |
| 1093896979 | Jamie L Dehan | Physical Therapist | 294 Ne Tudor Rd, Lees Summit, MO 64086-5696 | 2006-10-18 |
| 1063449056 | Jane Anne Burnett | Physical Therapist | 294 Ne Tudor Rd, Lees Summit, MO 64086-5696 | 2006-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740821057 | David L Harrison | Pharmacist | 6 Nw Sycamore St Ste A, Lees Summit, MO 64086 | 2019-10-08 |
| 1770069403 | Foster Family Pharmacy | Pharmacy | 6 Nw Sycamore St., Suite A, Lee's Summit, MO 64086 | 2018-07-16 |
| 1255716221 | Summit Eye Center, LLC | Ophthalmology | 1621 Nw Blue Parkway, Lees Summit, MO 64086 | 2015-07-20 |
| 1679954085 | Day By Day Staff Relief, LLC | Hospice Care, Community Based | 943 Ne Columbus Street, Lees Summit, MO 64086 | 2015-06-11 |
| 1831505544 | Johnathan Almeida | Emergency Medicine | 100 Ne St Lukes Blvd, Emergency Department, Lees Summit, MO 64086 | 2014-07-02 |
| 1215358429 | Alex Sharifian Dds Summit Modern Dentistry PC | Dentist | 940 Nw Blue Parkway, Suite A, Lee's Summit, MO 64086 | 2013-12-16 |
| 1477807303 | Lauren M Lee | Nurse Practitioner | 1425 Nw Blue Parkway, Lee's Summit, MO 64086 | 2012-10-30 |
| 1396016507 | Retha Rene Rudloff | General Practice | 1728 N.e. Misty Lane, Lee's Summit, MO 64086 | 2012-01-19 |
| 1629351200 | Missouri Dental Professionals, Richard Straus, Dmd, PC | Dentist | 691 Nw Blue Pkwy, Lees Summit, MO 64086 | 2011-09-21 |
| 1497054308 | Jennifer Nelson | Physical Therapist | 301 Ne Tudor, Lee's Summit, MO 64086 | 2011-03-17 |
| Find all providers in zip 64086 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790140424 | Knapp Physical Therapy, LLC | Clinic/Center | 806 Sw Blue Pkwy, Lees Summit, MO 64063-3805 | 2015-12-22 |
| 1053725812 | Synergy Myofascial Therapy Center | Clinic/Center | 221 Sw Noel St, Lees Summit, MO 64063-2241 | 2014-06-19 |
| 1770085136 | Ascent Physical Therapy | Clinic/Center | 400 Ne Topaz Dr, Lees Summit, MO 64086-7028 | 2018-03-01 |
| 1932576758 | Serc Rehabilitation Partners LLC | Clinic/Center | 1741 Ne Douglas St, Ste 202, Lees Summit, MO 64086-4703 | 2015-08-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417563479 | Lydia Kay Blondin | Clinic/Center | 24158 Tanglewood Rd, Saint Robert, MO 65584-3815 | 2020-09-16 |
| 1275146474 | Beyond Recovery Physical Therapy, LLC | Clinic/Center | 2627 E Horning St, Springfield, MO 65802-2372 | 2020-08-26 |
| 1144839887 | Atr Justin LLC | Clinic/Center | 15882 Clayton Rd, Ellisville, MO 63011-2212 | 2020-07-29 |
| 1043836588 | Martin Ventures LLC | Clinic/Center | 3119 S Scenic Ave Ste B, Springfield, MO 65807-3965 | 2020-06-21 |
| 1659996585 | Suellen Caroline Cruz Johnson | Clinic/Center | 1120 E 77th Ter, Kansas City, MO 64131-1939 | 2020-06-16 |
| 1790252948 | Mercy Hospital Springfield | Clinic/Center | 448 Hwy 248 Ste 130, Branson, MO 65616-3725 | 2018-10-25 |
| 1477059517 | Occupational Health Centers of Kansas Pa | Clinic/Center | 19000 E Eastland Center Ct Ste 200, Independence, MO 64055-7023 | 2018-04-05 |
| 1326541475 | Five Star Rehabilitation and Wellness Services, LLC. | Clinic/Center | 1 Pratt Pl, Florissant, MO 63031-6557 | 2018-03-15 |
| 1053820175 | Prorehab PC | Clinic/Center | 11525 Olde Cabin Rd Ste 1, Saint Louis, MO 63141-7146 | 2017-09-20 |
| 1629590955 | Judice Consulting LLC | Clinic/Center | 700 Shallowcreek Vw, Ballwin, MO 63021-6618 | 2017-07-07 |
| Find all providers with the same taxonomy | ||||
| City | LEES SUMMIT |
| Zip Code | 64086 |
Please comment or provide details below to improve the information on SUMMIT REHABILITATION AND WELLNESS CENTER, LLC.
| 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.