MEDICARE: PAUL THOMAS PHYSICAL THERAPY,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	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1861642035
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PAUL THOMAS PHYSICAL THERAPY,LLC

Provider Business Mailing Address
First Line	:	7510 STATE LINE RD STE A
Second Line	:
City	:	PRAIRIE VILLAGE
State	:	KS
Zip	:	66208-3400
Country	:	US
Telephone Number	:	913-291-2290
Fax Number	:	913-291-2449

Provider Business Practice Location Address
First Line	:	2106 W 75TH ST
Second Line	:
City	:	PRAIRIE VILLAGE
State	:	KS
Zip	:	66208-3503
Country	:	US
Telephone Number	:	913-291-2290
Fax Number	:	913-291-2449

Authorized Official
Title or Position	:	OWNER
Name	:	HOPE A HILLYARD
Credential	:	DPT
Telephone Number	:	913-291-2290

Provider Enumeration Date	:	09/24/2008
Last Update Date	:	08/21/2024

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