Provider Demographics
NPI:1962272674
Name:PRESTIGE HAND AND PHYSICAL THERAPY LLC
Entity type:Organization
Organization Name:PRESTIGE HAND AND PHYSICAL THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHERYL
Authorized Official - Middle Name:
Authorized Official - Last Name:ZWERENZ
Authorized Official - Suffix:
Authorized Official - Credentials:OT
Authorized Official - Phone:816-305-6414
Mailing Address - Street 1:3730 NE TROON DR
Mailing Address - Street 2:
Mailing Address - City:LEES SUMMIT
Mailing Address - State:MO
Mailing Address - Zip Code:64064-1988
Mailing Address - Country:US
Mailing Address - Phone:816-602-5056
Mailing Address - Fax:816-272-0092
Practice Address - Street 1:3730 NE TROON DR STE A
Practice Address - Street 2:
Practice Address - City:LEES SUMMIT
Practice Address - State:MO
Practice Address - Zip Code:64064-1988
Practice Address - Country:US
Practice Address - Phone:816-602-5046
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-03
Last Update Date:2024-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHandGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
No261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy