Healthcare Provider Details

I. General information

NPI: 1508519257
Provider Name (Legal Business Name): ADAPT PHYSICAL THERAPY & PLAYER DEVELOPMENT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/02/2022
Last Update Date: 02/02/2022
Certification Date: 02/02/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13550 W 108TH ST
LENEXA KS
66215-2022
US

IV. Provider business mailing address

11324 W 55TH ST
SHAWNEE KS
66203-1541
US

V. Phone/Fax

Practice location:
  • Phone: 785-230-2817
  • Fax:
Mailing address:
  • Phone: 785-230-2817
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. JACOB ALLEN DEAN MCFARLAND
Title or Position: OWNER
Credential: DPT
Phone: 785-230-2817