MEDICARE: FIT 4 LIVING PHYSICAL THERAPY AND WELLNESS 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	261QP2000X	Physical Therapy Clinic/Center

General Provider Information

NPI Number	:	1902756216
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FIT 4 LIVING PHYSICAL THERAPY AND WELLNESS LLC

Provider Business Mailing Address
First Line	:	16555 AGNES ST
Second Line	:
City	:	GARDNER
State	:	KS
Zip	:	66030-8911
Country	:	US
Telephone Number	:	913-228-2946
Fax Number	:

Provider Business Practice Location Address
First Line	:	15150 S KEELER ST
Second Line	:
City	:	OLATHE
State	:	KS
Zip	:	66062-2739
Country	:	US
Telephone Number	:	913-228-2946
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	TRACY RENEE COCHRAN
Credential	:	PT, MS
Telephone Number	:	913-271-0900

Provider Enumeration Date	:	01/28/2026
Last Update Date	:	03/30/2026

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