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

Anthony Michael Medina, PT, DPT

Individual provider Physical Therapist · NPI 1649792912

Anthony Michael Medina, PT, DPT is a Physical Therapist in Private Practice in Kansas City, Missouri. Graduated from University of Kansas School of Med (KC/WICH/SAL) in 2017, 9 years ago. Practices with Serc Rebabilitation Partners, LLC, a 211-clinician group and accepts Medicare assignment. Licensed in Kansas and Missouri.

Years since qualifying
9
Trained at
University of Kansas School of Med (KC/WICH/SAL)
Licensed in
KS, MO
In the registry since
2017
Specialties on file
2
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

500 E 112th St
Kansas City, MO 64131-3623
Phone: (816) 942-3337
Fax: (816) 942-3350
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 2017029218 (MO)
Physical Therapist Taxonomy 225100000X · Licence 11-05643 (KS)

Record details

NPI number1649792912
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedJuly 8, 2017
Last updated in NPPESJuly 21, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolUNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Graduated 2017 (9 years in practice)
Group practice Serc Rebabilitation Partners, Llc — 211 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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