Healthcare Provider Details

I. General information

NPI: 1043169899
Provider Name (Legal Business Name): WARRENSBURG PHYSICAL THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/26/2026
Last Update Date: 01/26/2026
Certification Date: 01/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

717 S MAGUIRE ST
WARRENSBURG MO
64093-2612
US

IV. Provider business mailing address

717 S MAGUIRE ST
WARRENSBURG MO
64093-2612
US

V. Phone/Fax

Practice location:
  • Phone: 660-563-9800
  • Fax: 660-563-9801
Mailing address:
  • Phone: 660-563-9800
  • Fax: 660-563-9801

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: KEVIN SARTIN
Title or Position: OWNER
Credential: PT, DPT
Phone: 660-563-9800