Healthcare Provider Details

I. General information

NPI: 1679403927
Provider Name (Legal Business Name): SADY VANALSTINE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/20/2026
Last Update Date: 09/11/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23351 PRAIRIE STAR PKWY STE A125
LENEXA KS
66227-7303
US

IV. Provider business mailing address

2874 CAMPBELLTOWN RD
KANE PA
16735-5336
US

V. Phone/Fax

Practice location:
  • Phone: 913-676-8610
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberCP058312T
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberCP060544T
License Number StateKS
# 3
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT034281
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: