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

Individual provider Physical Therapist · NPI 1407893472

Esteban Azevedo, PT is a Physical Therapist in Private Practice in Kansas City, Missouri. Qualified in 2000, 26 years ago. Practices with Modern Physical Therapy PC, a 17-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
26
Licensed in
MO
In the registry since
2006
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

335 NW Barry Rd
Kansas City, MO 64155-2740
Phone: (816) 468-5278
Fax: (816) 285-5278
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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 2004010062 (MO)

Record details

NPI number1407893472
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedMay 31, 2006
Last updated in NPPESAugust 5, 2014
Mailing address335 Nw Barry Rd, Kansas City, MO 64155-2740

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Modern Physical Therapy Pc — 17 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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