Provider Demographics
NPI:1174689236
Name:CORE STRATEGIES PHYSICAL THERAPY, PA
Entity Type:Organization
Organization Name:CORE STRATEGIES PHYSICAL THERAPY, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, PHYSICAL THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:DANIELLE
Authorized Official - Middle Name:K
Authorized Official - Last Name:DEBBRECHT
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:913-322-4000
Mailing Address - Street 1:10400 W 103RD ST
Mailing Address - Street 2:SUITE 22
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66214-2640
Mailing Address - Country:US
Mailing Address - Phone:913-322-4000
Mailing Address - Fax:913-322-4001
Practice Address - Street 1:10400 W 103RD ST
Practice Address - Street 2:SUITE 22
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66214-2640
Practice Address - Country:US
Practice Address - Phone:913-322-4000
Practice Address - Fax:913-322-4001
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-30
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS11027832251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedicGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS320041OtherCOVENTRY
KS37694019OtherKANSAS CITY BLUE CROSS
706184OtherACN GROUP
DG0514OtherRAILROAD MEDICARE
KS320041OtherCOVENTRY
=========OtherGREATWEST HEALTHCARE