DYNAMIC ATHLETICS HEALTH & PERFORMANCE INSTITUTE LLC


Address: 9111 Flint St, Overland Park, KS 66214-1737
Phone: 8559396264

DYNAMIC ATHLETICS HEALTH & PERFORMANCE INSTITUTE LLC (NPI# 1669729737) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1669729737
Entity Type Organization
Organization Name DYNAMIC ATHLETICS HEALTH & PERFORMANCE INSTITUTE LLC
Practice Address 9111 Flint St
Overland Park
KS 66214-1737
Practice Telephone 8559396264
Mailing Telephone 8559396264
Enumeration Date 2012-08-08
Last Update Date 2012-08-08
Authorized Official Name DR. THOMAS ALAN EBERLINE (CHIROPRACTOR)
Authorized Official Telephone 7857603178
Authorized Official Credential D.C.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 111NS0005X Chiropractor
Specialization: Sports Physician
0105408 KS Chiropractic Providers

Office Location

Street Address 9111 FLINT ST
City OVERLAND PARK
State KS
Zip Code 66214-1737

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1861864381 Melanie Ellsworth Specialist/Technologist 10533 Goddard Street, Apt 331, Overland Park, KS 66214 2015-10-23
1043618135 Heartland Medical, LLC Pharmacy 7955 Flint Street, Lenexa, KS 66214 2014-12-05
1912241902 Laura Elizabeth Ponce Acupuncturist 7410 Switzer Rd., Shawnee, KS 66214 2012-11-15
1154563732 Megan Elizabeth Hutchinson Frazier Occupational Therapist 10300 W. 103rd St., Suite 300, Quantum Health Professionals, Overland Park, KS 66214 2009-03-30
1205078151 Kortney Marie Cuddigan Occupational Therapist 10300 West 103rd Street, Suite 300, Overaland Park, KS 66214 2009-03-24
1114174158 Michelle Renee Neher Speech-Language Pathologist 10300 W 103rd Street, Suite 300, Overland Park, KS 66214 2008-08-21
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Taxonomy Information

Taxonomy Code 111NS0005X
Grouping Chiropractic Providers
Classification Chiropractor
Specialization Sports Physician

Taxonomy Definition

A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities.
Notes: Source: American Chiropractic Board of Sports Physicians, 2009 [7/1/2009: definition added]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1023421179 Bradley William Carolan Chiropractor 9809 W 110th Street, Bld. 36, Overland Park, KS 66210-1401 2014-06-06
1912037656 Craig Wayne Storck Chiropractor 11815 Caenen St, Overland Park, KS 66210-2733 2007-03-06
1972019594 Elite Chiro Care Chiropractor 7121 W 95th St, Overland Park, KS 66212 2017-12-19
1699118372 Steven C Flanery Chiropractor 10425 Marty St, Suite 100, Overland Park, KS 66212-2569 2013-04-11
1770853327 Chris Alan Weir Chiropractor 14310 Metcalf Ave Ste 120, Overland Park, KS 66223 2012-01-12
1891026852 K B Smith, D.c., LLC Chiropractor 9209 W 110th St Bldg 36, Overland Park, KS 66210-1401 2010-01-14
1457390817 Jennifer Leigh Schindler Chiropractor 7811 Marty St, Overland Park, KS 66204-2925 2006-06-04

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1457992448 Tyler James Panko Chiropractor 7829 E Rockhill St Ste 303, Wichita, KS 67206-3914 2019-10-01
1023673068 Jack Edward Gallagher Chiropractor 13400 Briar Dr Ste B, Leawood, KS 66209-3433 2019-05-06
1700278983 Performance Spine & Sport LLC Chiropractor 2597 S. Broadway Suite A, Pittsburg, KS 66762 2015-02-25
1982014205 Wilson Chiropractic and Wellness Chiropractor 1632 N Porter Ave, Wichita, KS 67203-2921 2014-05-08
1760811822 Bluechip Spine & Sports Specialists, LLC Chiropractor 8336 E 21st St N, Suite #300, Wichita, KS 67206-2948 2013-11-08
1962739888 Joseph Charles Kingry-staton Chiropractor 2111 E Crawford St, Salina, KS 67401-1326 2009-11-13
1366699407 Performance Chiropractic Chiropractor 708 S Rogers Rd Ste A, Olathe, KS 66062-1739 2008-08-20
1578719340 Jesse D Walden Chiropractor 11652 W. 75 St., Shawnee, KS 66214 2008-08-13
1033303136 Casey T Hummel Chiropractor 550 North Andover Road, Andover, KS 67002 2007-08-31
1902000607 Ryan E Stevens Chiropractor 2000 W 47th Pl, Westwood, KS 66205-1803 2007-06-14
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Competitor

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City OVERLAND PARK
Zip Code 66214

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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