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
Fax: (816) 524-1445
Website:
Authorized official contact:
Name: Linville, Samantha Lee PT, DPT, SCS

Health care specialties

SpecialtyCodeLicense #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 last year

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548428931 NPPES
Missouri Other MA1102 MEDICARE PTAN
Missouri Other MA5234 MEDICARE PTAN

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