Healthcare Provider Details

I. General information

NPI: 1376354126
Provider Name (Legal Business Name): ROBINSON PHYSICAL THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/20/2025
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1817 E SANTA FE ST
GARDNER KS
66030-2500
US

IV. Provider business mailing address

1251 W GREGORY BLVD
KANSAS CITY MO
64114-1125
US

V. Phone/Fax

Practice location:
  • Phone: 785-216-0666
  • Fax: 785-330-5047
Mailing address:
  • Phone: 785-216-0666
  • Fax: 785-330-5047

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: WYATT ROBINSON
Title or Position: PRESIDENT
Credential: DPT
Phone: 785-216-0666