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

Taylor Ballantyne

Individual provider Physical Therapist · NPI 1952961195

Taylor Ballantyne is a Physical Therapist in Private Practice in Lees Summit, Missouri. Qualified in 2019, 7 years ago. Practices with Exercise Therapy Consultants Inc, an 8-clinician group. Licensed in Missouri.

Years since qualifying
7
Licensed in
MO
In the registry since
2019
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

401 NW Murray Rd
Lees Summit, MO 64081-1425
Phone: (816) 944-4244
Fax: (913) 745-4352
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 2019021792 (MO)

Record details

NPI number1952961195
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 19, 2019
Last updated in NPPESApril 24, 2026
Certification dateApril 24, 2026
Mailing address22120 Midland Dr Ste 1, Shawnee, KS 66226-3554

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Exercise Therapy Consultants Inc — 8 clinicians
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Lees Summit