Provider Demographics
NPI:1962414250
Name:EXERCISE THERAPY CONSULTANTS, INC.
Entity type:Organization
Organization Name:EXERCISE THERAPY CONSULTANTS, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:SHARI
Authorized Official - Middle Name:K
Authorized Official - Last Name:ZENTZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:816-331-9111
Mailing Address - Street 1:PO BOX 320
Mailing Address - Street 2:
Mailing Address - City:BELTON
Mailing Address - State:MO
Mailing Address - Zip Code:64012-0320
Mailing Address - Country:US
Mailing Address - Phone:816-331-9111
Mailing Address - Fax:816-348-0492
Practice Address - Street 1:924 N SCOTT AVE
Practice Address - Street 2:
Practice Address - City:BELTON
Practice Address - State:MO
Practice Address - Zip Code:64012-1739
Practice Address - Country:US
Practice Address - Phone:816-331-9111
Practice Address - Fax:816-348-0492
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-13
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO25691019OtherBCBS PROVIDER #
MO25691019OtherBCBS PROVIDER #
MOJ630000BMedicare PIN
MOJ630000AMedicare PIN
650024859Medicare PIN