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General NPI Number Information
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NPI Number | 1619888674
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Entity Type | Organization
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Legal Business Name | LONGGAME PT LLC
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Dates
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Enumeration Date | 09/16/2026
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Last Update Date | 09/16/2026
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Provider Practice Location Address
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Address Line | 13154 STATE LINE RD STE C
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City | LEAWOOD
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State | KS
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Zip | 66209-1708
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Country | US
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Telephone | 913-229-4398
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Fax |
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Provider Business Mailing Address
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Address Line | 5238 REEDS RD
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City | MISSION
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State | KS
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Zip | 66202-1854
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Country | US
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Telephone | 913-229-4398
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Fax |
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Authorized Official
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Title or Position | OWNER/PHYSICAL THERAPIST
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Name | JOSHUA DARBY
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Credential | MSPT, FAFS, CMTPT/DN
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Telephone | 913-229-4398
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number |
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License Number State |
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