Healthcare Provider Details

I. General information

NPI: 1043163793
Provider Name (Legal Business Name): DANIELLE SHARP DPT, PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DANIELLE STEIN DPT, PT

II. Dates (important events)

Enumeration Date: 02/20/2026
Last Update Date: 02/20/2026
Certification Date: 02/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 NE TUDOR RD STE 110
LEES SUMMIT MO
64086-5601
US

IV. Provider business mailing address

100 NE TUDOR RD STE 110
LEES SUMMIT MO
64086-5601
US

V. Phone/Fax

Practice location:
  • Phone: 816-323-8396
  • Fax:
Mailing address:
  • Phone: 816-323-8396
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2081S0010X
TaxonomySports Medicine (Physical Medicine & Rehabilitation) Physician
License Number11-08105
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: