Provider Demographics
NPI:1336352277
Name:ADAMS, STEVEN REED (PT)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:REED
Last Name:ADAMS
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5901 NW 63RD TER
Mailing Address - Street 2:STE 50
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64151-3431
Mailing Address - Country:US
Mailing Address - Phone:816-741-9033
Mailing Address - Fax:
Practice Address - Street 1:6246 N CHATHAM AVE
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64151-2472
Practice Address - Country:US
Practice Address - Phone:816-587-6234
Practice Address - Fax:816-587-6294
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-07
Last Update Date:2019-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO01748225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MOS75D875Medicare ID - Type UnspecifiedPHYSICAL THERAPY