Healthcare Provider Details

I. General information

NPI: 1598256596
Provider Name (Legal Business Name): PREFERRED PT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/24/2018
Last Update Date: 09/27/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 KINDLEBERGER RD
KANSAS CITY KS
66115-1227
US

IV. Provider business mailing address

PO BOX 392548
PITTSBURGH PA
15251-9548
US

V. Phone/Fax

Practice location:
  • Phone: 816-413-0900
  • Fax: 816-413-0737
Mailing address:
  • Phone: 316-263-0003
  • Fax: 316-263-1241

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number StateNULL

VIII. Authorized Official

Name: DAVID CHARLES TODD
Title or Position: OWNER
Credential:
Phone: 316-263-0003