| Optimum Physical Therapy And Performance Center, Llc | |
|
5501 Nw 62nd Ter, Ste 102, Kansas City, MO 64151-2411 | |
| (816) 547-6140 | |
| Not Available |
| Full Name | Optimum Physical Therapy And Performance Center, Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 5501 Nw 62nd Ter, Kansas City, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255728986 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Brandi L Jackson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447209630 PECOS PAC ID: 7214964634 Enrollment ID: I20050718000732 |
| Provider Name | Daniel Shane Jackson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952301756 PECOS PAC ID: 8426071028 Enrollment ID: I20060110000851 |
| Provider Name | Tyler M Tunks |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477732469 PECOS PAC ID: 4587978689 Enrollment ID: I20150803002364 |
| Mailing Address | Practice Location Address |
|---|---|
| Optimum Physical Therapy And Performance Center, Llc 3610 Nw 86th Ct, Kansas City, MO 64154-1283 Ph: () - | Optimum Physical Therapy And Performance Center, Llc 5501 Nw 62nd Ter, Ste 102, Kansas City, MO 64151-2411 Ph: (816) 547-6140 |
Dr. Scott Lawrence Jones, DPT, MHA, OCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 912 W 78th St, Kansas City, MO 64114 Phone: 816-305-0030 | |
Paula Dianne Walsh, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 406 Armour Rd Ste 200, Kansas City, MO 64116 Phone: 816-895-9126 Fax: 816-895-5436 | |
Julie Musick, MS,PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2401 Gillham Rd, Kansas City, MO 64108 Phone: 816-234-3380 Fax: 816-346-1372 | |
Erin Leigh Mooney, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 13157 State Line Rd, Kansas City, MO 64145 Phone: 816-941-2550 Fax: 816-941-2520 | |
Judith E Vinlove Hutchison, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6758 Pennsylvania Ave, Kansas City, MO 64113 Phone: 816-914-4868 | |
Ms. Kati Mayer, D.P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 10008 Walnut Dr., #202, Kansas City, MO 64114 Phone: 479-685-6768 | |
Sophie Dehaven, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4700 Belleview Ave Ste 415, Kansas City, MO 64112 Phone: 816-569-2802 |