| Restore Muscle And Joint, Llc | |
|
4119 Nw Barry Rd Kansas City MO 64154-1100 | |
| (816) 452-4488 | |
| (816) 452-4491 |
| Full Name | Restore Muscle And Joint, Llc |
|---|---|
| Speciality | Physical Medicine & Rehabilitation |
| Location | 4119 Nw Barry Rd, Kansas City, Missouri |
| Authorized Official Name and Position | Troy Aaron Pearson (OWNER) |
| Authorized Official Contact | 8166864551 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Restore Muscle And Joint, Llc 4119 Nw Barry Rd Kansas City MO 64154-1100 Ph: (816) 452-4488 | Restore Muscle And Joint, Llc 4119 Nw Barry Rd Kansas City MO 64154-1100 Ph: (816) 452-4488 |
| NPI Number | 1962767061 |
|---|---|
| Provider Enumeration Date | 07/05/2012 |
| Last Update Date | 02/01/2023 |
| Medicare PECOS PAC ID | 9830346824 |
|---|---|
| Medicare Enrollment ID | O20120827000438 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962767061 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 2005018781 (Missouri) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | (* (Not Available)) | Primary |
| Provider Name | Kendra Lynn Pearson |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1578503702 PECOS PAC ID: 3870536758 Enrollment ID: I20050602000556 |
| Provider Name | Angela Jane Garner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952366692 PECOS PAC ID: 9436195906 Enrollment ID: I20050706000772 |
| Provider Name | Melissa K Loomis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558663609 PECOS PAC ID: 2668660556 Enrollment ID: I20101220000202 |
| Provider Name | Barbara L Atkinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407112121 PECOS PAC ID: 5395907505 Enrollment ID: I20120504000495 |
| Provider Name | Colin S Mermey |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1821436759 PECOS PAC ID: 6305068024 Enrollment ID: I20141113001595 |
| Provider Name | Brooke M Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497168041 PECOS PAC ID: 3173748829 Enrollment ID: I20150328000136 |
| Provider Name | Clayton Thomas Newberry |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1669828208 PECOS PAC ID: 2769771278 Enrollment ID: I20160614001752 |
| Provider Name | Sonya K Roe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760920458 PECOS PAC ID: 0547543464 Enrollment ID: I20170220000228 |
| Provider Name | Lisa A Cramer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053842047 PECOS PAC ID: 3274810775 Enrollment ID: I20170511000390 |
| Provider Name | Molly Beth Winder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992210389 PECOS PAC ID: 9436410545 Enrollment ID: I20180307000498 |
| Provider Name | Jamie Lynn Werner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306346093 PECOS PAC ID: 9739440751 Enrollment ID: I20180307001583 |
| Provider Name | Misti D Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558851329 PECOS PAC ID: 5890042097 Enrollment ID: I20180719000234 |
| Provider Name | Christopher E Egorugwu |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700446143 PECOS PAC ID: 0547598120 Enrollment ID: I20190820003200 |
| Provider Name | Siobhan L Gray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912322975 PECOS PAC ID: 4789806886 Enrollment ID: I20220816003680 |
| Provider Name | Cesar Torrano |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1174243448 PECOS PAC ID: 4486039831 Enrollment ID: I20220921001009 |
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