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

Individual provider Physical Therapist · NPI 1164037032

Nicholas Patrick Earley, DPT is a Physical Therapist in Private Practice in Lees Summit, Missouri. Qualified in 2020, 6 years ago. Practices with Northland Physical Therapy and Rehab Services Inc, a 120-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
6
Licensed in
MO
In the registry since
2020
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

100 NE Tudor Rd
Lees Summit, MO 64086-4507
Phone: (816) 554-6003
Fax: (816) 554-6013
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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 2020029259 (MO)

Record details

NPI number1164037032
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedSeptember 9, 2020
Last updated in NPPESSeptember 9, 2020
Certification dateSeptember 8, 2020
Mailing address317 Meadow Chase Dr, Festus, MO 63028-1575

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Northland Physical Therapy And Rehab Services Inc — 120 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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