Edward Pilgrim (NPI# 1669032249, PAC ID# 3476986860) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
Nation Provider ID (NPI) | 1669032249 |
PAC ID by PECOS | 3476986860 |
Professional Enrollment ID | I20191125001505 |
Full Name | Edward Pilgrim |
Organization Legal Name | BOOST SPORTS PERFORMANCE LLC |
Address |
1254 Se Century Dr Lees Summit MO 64081-3286 |
Phone Number | 8165241442 |
Gender | M |
Graduation Year | 2019 |
Primary Specialty | PHYSICAL THERAPY |
Group Practice PAC ID | 8921171604 |
Number of Group Practice Members | 16 |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
1254 Se Century Dr, Lees Summit, MO 64081-3286 | 8165241442 | BOOST SPORTS PERFORMANCE LLC |
Organization Legal Name | BOOST SPORTS PERFORMANCE LLC |
Physicians | 17 |
Name | Specialty | Organization | Address |
---|---|---|---|
Hana Petersen | Physical Therapy | Boost Sports Performance LLC | 17011 Bel Ray Blvd Belton Raymore, Belton, MO 64012-5371 |
Samantha Lee Linville | Physical Therapy | Boost Sports Performance LLC | 1460 Nw Olympic Dr, Suite J, Grain Valley, MO 64029-7865 |
William Patrick Streck | Physical Therapy | Boost Sports Performance LLC | 3801 Selsa Rd, Suite 7, Independence, MO 64057-1712 |
Patnakon Kevin Sonthana | Physical Therapy | Boost Sports Performance LLC | 2105 Kara Ct, Suite 1 A, Liberty, MO 64068-1395 |
Zachary T Koelling | Physical Therapy | Boost Sports Performance LLC | 2105 Kara Ct, Suite 1 A, Liberty, MO 64068-1395 |
Thomas Hargrave | Physical Therapy | Boost Sports Performance LLC | 3801 Selsa Rd, Suite 7, Independence, MO 64057-1712 |
Michael Ryan Johnson | Physical Therapy | Boost Sports Performance LLC | 3801 Selsa Rd, Suite 7, Independence, MO 64057-1712 |
Aaron D Horschig | Physical Therapy | Boost Sports Performance LLC | 2105 Kara Ct, Suite 1 A, Liberty, MO 64068-1395 |
Mary Suellentrop | Physical Therapy | Boost Sports Performance LLC | 17011 Bel Ray Blvd Belton Raymore, Belton, MO 64012-5371 |
Zachary Lee Hershberger | Physical Therapy | Boost Sports Performance LLC | 3801 Selsa Rd, Suite 7, Independence, MO 64057-1712 |
Street Address |
1254 SE CENTURY DR |
City | LEES SUMMIT |
State | MO |
Zip | 64081-3286 |
Name | Specialty | Organization | Address |
---|---|---|---|
Craig Erisman | Psychologist, Clinical | Midamericare Limited Liability Company | 600 Nw Pryor Rd, Lees Summit, MO 64081-1104 |
John L Kostoryz | Psychologist, Clinical | Midamericare Limited Liability Company | 600 Nw Pryor Rd, Lees Summit, MO 64081-1104 |
Kimberly F Nagel | Nurse Practitioner | Medical Group of Kansas City LLC | 600 Nw Murray Rd, Suite 210, Lees Summit, MO 64081-1245 |
Kelly A Obrien | Family Medicine | Lee's Summit Family Care LLC | 600 Nw Murray Rd, Suite 210, Lees Summit, MO 64081-1245 |
Melissa L Smith | Family Medicine | Lee's Summit Family Care LLC | 600 Nw Murray Rd, Suite 210, Lees Summit, MO 64081-1245 |
Robyn L Durst | Nurse Practitioner | Lee's Summit Family Care LLC | 600 Nw Murray Rd, Suite 210, Lees Summit, MO 64081-1245 |
Cabot L Sweeney | Family Medicine | Lee's Summit Family Care LLC | 600 Nw Murray Rd, Suite 210, Lees Summit, MO 64081-1245 |
Leila Koleiny | Family Medicine | Lee's Summit Family Care LLC | 600 Nw Murray Rd, Suite 210, Lees Summit, MO 64081-1245 |
Robert C Weixeldorfer | Optometry | Eye Care Pa | 425 Nw Murray Rd, Lees Summit, MO 64081-1425 |
Carol A Pranulis | Optometry | Eye Care Pa | 425 Nw Murray Rd, Lees Summit, MO 64081-1425 |
Find all physicians in zip 64081 |
City | LEES SUMMIT |
Zip Code | 64081 |
Specialty | PHYSICAL THERAPY |
City + Specialty | LEES SUMMIT + PHYSICAL THERAPY |
Please comment or provide details below to improve the information on Edward Pilgrim.
Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.