Boost Physical Therapy & Sports Performance
LBN: Boost Sports Performance, Llc
Boost Physical Therapy & Sports Performance is an health care organization with primary practice located at 1254 Se Century Dr , Lees Summit MO 64081-3286. The organization recently has only one registered license in Ambulatory Health Care Facilities / Physical Therapy, which is considered as the primary health care specialty.
Boost Sports Performance, Llc can be contacted via phone (816) 524-1442, or through Linville, Samantha Lee via phone (816) 407-1249.
Contact Information
Primary practice address
1254 Se Century Dr
Lees Summit MO 64081-3286
Phone: (816) 524-1442
Fax: (816) 524-1445
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Physical Therapy | 261QP2000X |
Profile Details
| NPI number | 1548428931 |
|---|---|
| LBN Legal business name | Boost Sports Performance, Llc |
| DBA Doing business as | Boost Physical Therapy & Sports Performance |
| Authorized official | Linville, Samantha Lee PT, DPT, SCS |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 2nd, 2008 |
| Last updated | Nov 1st, 2023 - about 3 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1548428931 | NPPES |
| Missouri | Other | MA1102 | MEDICARE PTAN |
| Missouri | Other | MA5234 | MEDICARE PTAN |
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