| Optimum Physical Therapy & Performance Center, Llc | |
| 
					5501 Nw 62nd Ter, Ste 102, Kansas City, MO 64151-2411  | |
| (816) 547-6140 | |
| Not Available | 
| Full Name | Optimum Physical Therapy & Performance Center, Llc | 
|---|---|
| Type | Facility | 
| Speciality | Physical Therapist | 
| Location | 5501 Nw 62nd Ter, Kansas City, Missouri | 
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1255728986 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary | 
| Provider Name | Brandi L Jackson | 
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice | 
| Provider Identifiers | NPI Number: 1447209630 PECOS PAC ID: 7214964634 Enrollment ID: I20050718000732  | 
| Provider Name | Daniel Shane Jackson | 
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice | 
| Provider Identifiers | NPI Number: 1952301756 PECOS PAC ID: 8426071028 Enrollment ID: I20060110000851  | 
| Provider Name | Tyler M Tunks | 
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice | 
| Provider Identifiers | NPI Number: 1477732469 PECOS PAC ID: 4587978689 Enrollment ID: I20150803002364  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Optimum Physical Therapy & Performance Center, Llc 3610 Nw 86th Ct, Kansas City, MO 64154-1283 Ph: () -  | Optimum Physical Therapy & Performance Center, Llc 5501 Nw 62nd Ter, Ste 102, Kansas City, MO 64151-2411 Ph: (816) 547-6140  | 
Dr. Scott Lawrence Jones, DPT, MHA, OCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 912 W 78th St, Kansas City, MO 64114 Phone: 816-305-0030  | |
Meghan Murphy, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8644 N Boardwalk Ave, Kansas City, MO 64154 Phone: 913-632-4740  | |
Julie Musick, MS,PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2401 Gillham Rd, Kansas City, MO 64108 Phone: 816-234-3380 Fax: 816-346-1372  | |
Erin Leigh Mooney, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 13157 State Line Rd, Kansas City, MO 64145 Phone: 816-941-2550 Fax: 816-941-2520  | |
Judith E Vinlove Hutchison, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6758 Pennsylvania Ave, Kansas City, MO 64113 Phone: 816-914-4868  | |
Sophie Dehaven,  Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4700 Belleview Ave Ste 415, Kansas City, MO 64112 Phone: 816-569-2802  | |
Connor Alexander Buck, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 8250 N Church Rd Ste B, Kansas City, MO 64158 Phone: 910-484-4653  |