Healthcare Provider Details

I. General information

NPI: 1548183775
Provider Name (Legal Business Name): DELANEY E SUMMERS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/03/2026
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11901 ROSEWOOD ST
OVERLAND PARK KS
66209-3533
US

IV. Provider business mailing address

6817 HARDY AVE
RAYTOWN MO
64133-6050
US

V. Phone/Fax

Practice location:
  • Phone: 913-498-2700
  • Fax:
Mailing address:
  • Phone: 816-679-0972
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number2026034503
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: