OrganizationActive
Playabilities
NPI 1043607674 · Pediatric Physical Therapist · Leawood, KS
Provider details
- NPI number
- 1043607674
- Entity type
- Organization
- Primary specialty
- Pediatric Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Kelly Reardon, Office Mngr/Occupational Therapist(913) 515-3531
- License
- 11-03207 (KS)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
3715 W 133rd St
Leawood, KS 66209-3347
Phone: (913) 515-3531
Fax: (816) 222-0679
Approximate (ZIP-level) locationGet directions
Mailing address
3715 W 133rd St
Leawood, KS 66209-3347
Registry dates
- Enumerated
- 2015-04-21
- Last updated
- 2020-12-10
- Certified
- 2020-12-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.