Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Elite Sports Medicine & Physical Therapy Lc

Organization Physical Therapy Clinic/Center · NPI 1174699045

Elite Sports Medicine & Physical Therapy Lc is a Physical Therapy Clinic/Center in Leawood, Kansas. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

12728 State Line Rd
Leawood, KS 66209-1919
Phone: (913) 888-0014
Fax: (816) 941-2520
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Clinic/Center (primary) Taxonomy 261QP2000X

Record details

NPI number1174699045
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Biagio Mazza — Physical Therapist · (913) 888-0014
NPI enumeratedNovember 24, 2006
Last updated in NPPESFebruary 20, 2020
Certification dateFebruary 20, 2020
Mailing address12728 State Line Rd, Leawood, KS 66209-1619

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