1043774771 NPI number — LAURA MCKAIG PHYSICAL THERAPY LLC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1043774771 NPI number — LAURA MCKAIG PHYSICAL THERAPY LLC

Organization/Personal Information

Employer Identification Number (EIN):
N/A
Provider Organization Name:
LAURA MCKAIG PHYSICAL THERAPY LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1043774771
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/28/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
821 E PIATT LN
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
OLATHE
Provider Business Mailing Address State Name:
KS
Provider Business Mailing Address Postal Code:
66061-2917
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
913-940-3923
Provider Business Mailing Address Fax Number:
913-498-9646

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
8101 COLLEGE BLVD STE 100
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
OVERLAND PARK
Provider Business Practice Location Address State Name:
KS
Provider Business Practice Location Address Postal Code:
66210-2671
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
913-940-3923
Provider Business Practice Location Address Fax Number:
913-498-9646
Provider Enumeration Date:
01/28/2019

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
MCKAIG
Authorized Official First Name:
LAURA
Authorized Official Middle Name:
LEAH
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
913-940-3923

Provider Taxonomy Codes

  • Taxonomy code: 225100000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1336522234 . This is a "INDIVIDUAL NPI" identifier . This identifiers is of the category "OTHER".