Edward Pilgrim
BOOST SPORTS PERFORMANCE LLC


Address: 1254 Se Century Dr, Lees Summit, MO 64081-3286
Phone: 8165241442

Edward Pilgrim (NPI# 1669032249, PAC ID# 3476986860) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.

Physician Overview

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

Other Locations

Address Phone Organization
1254 Se Century Dr, Lees Summit, MO 64081-3286 8165241442 BOOST SPORTS PERFORMANCE LLC

Organization Information

Organization Legal Name BOOST SPORTS PERFORMANCE LLC
Physicians 17

Physicians with the same organization

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

Office Location

Street Address 1254 SE CENTURY DR
City LEES SUMMIT
State MO
Zip 64081-3286

Physicians in the same zip code

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

Competitor

Search similar physicians

City LEES SUMMIT
Zip Code 64081
Specialty PHYSICAL THERAPY
City + Specialty LEES SUMMIT + PHYSICAL THERAPY

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Dataset Information

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.

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