Healthcare Provider Details

I. General information

NPI: 1396658811
Provider Name (Legal Business Name): METHOD PEDIATRIC THERAPY AND WELLNESS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/25/2026
Last Update Date: 09/25/2026
Certification Date: 09/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2108 W 75TH ST STE 301
PRAIRIE VILLAGE KS
66208-3503
US

IV. Provider business mailing address

2108 W 75TH ST STE 301
PRAIRIE VILLAGE KS
66208-3503
US

V. Phone/Fax

Practice location:
  • Phone: 913-433-0706
  • Fax:
Mailing address:
  • Phone: 913-433-0706
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: TAYLOR RAE HORNBAKER
Title or Position: OWNER/MANAGING MEMBER
Credential: M.S., CCC-SLP
Phone: 785-307-1273