MEDICARE: PREFERRED PT LLC

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	225X00000X	Occupational Therapist
2	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1598256596
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PREFERRED PT LLC

Provider Business Mailing Address
First Line	:	PO BOX 392548
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15251-9548
Country	:	US
Telephone Number	:	316-263-0003
Fax Number	:	316-263-1241

Provider Business Practice Location Address
First Line	:	500 KINDLEBERGER RD
Second Line	:
City	:	KANSAS CITY
State	:	KS
Zip	:	66115-1227
Country	:	US
Telephone Number	:	816-413-0900
Fax Number	:	816-413-0737

Authorized Official
Title or Position	:	OWNER
Name	:	DAVID CHARLES TODD
Credential	:
Telephone Number	:	316-263-0003

Provider Enumeration Date	:	05/24/2018
Last Update Date	:	09/27/2018

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