Provider Demographics
NPI:1508519257
Name:ADAPT PHYSICAL THERAPY & PLAYER DEVELOPMENT
Entity Type:Organization
Organization Name:ADAPT PHYSICAL THERAPY & PLAYER DEVELOPMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JACOB
Authorized Official - Middle Name:ALLEN DEAN
Authorized Official - Last Name:MCFARLAND
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:785-230-2817
Mailing Address - Street 1:11324 W 55TH ST
Mailing Address - Street 2:
Mailing Address - City:SHAWNEE
Mailing Address - State:KS
Mailing Address - Zip Code:66203-1541
Mailing Address - Country:US
Mailing Address - Phone:785-230-2817
Mailing Address - Fax:
Practice Address - Street 1:13550 W 108TH ST
Practice Address - Street 2:
Practice Address - City:LENEXA
Practice Address - State:KS
Practice Address - Zip Code:66215-2022
Practice Address - Country:US
Practice Address - Phone:785-230-2817
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-02
Last Update Date:2022-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy