MEDICARE: FOUNDATIONAL CONCEPTS, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QP2000X	Physical Therapy Clinic/Center	1104232	KS
2	261QP2000X	Physical Therapy Clinic/Center	1103922	KS
3	261QP2000X	Physical Therapy Clinic/Center	2003007571	MO
4	261QP2000X	Physical Therapy Clinic/Center	2002001989	MO
5	261QP2000X	Physical Therapy Clinic/Center	2011009759	MO

General Provider Information

NPI Number	:	1598008294
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FOUNDATIONAL CONCEPTS, INC.

Provider Business Mailing Address
First Line	:	601 E 63RD ST STE 230
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64110-3303
Country	:	US
Telephone Number	:	816-569-2802
Fax Number	:	816-569-5436

Provider Business Practice Location Address
First Line	:	601 E 63RD ST # 230
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64110-3303
Country	:	US
Telephone Number	:	816-569-2802
Fax Number	:	816-569-5436

Authorized Official
Title or Position	:	PRESIDENT
Name	:	SARAH B DOMINGUEZ
Credential	:	PT
Telephone Number	:	816-569-2802

Provider Enumeration Date	:	04/01/2013
Last Update Date	:	04/09/2025

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Directions to “FOUNDATIONAL CONCEPTS, INC. ” Practice Location

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