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College Park Ancillary, LLC

NPI 1356617757ActiveOrganization· Clinic/Center, Physical Therapy· Overland Park, KS

Clinic/Center, Physical Therapy in Overland Park, Kansas, registered in NPPES in March 2012. The authorized official on file is Charles O. Chambers, Administrator.

Overview

NPI1356617757
StatusActive
Entity typeOrganization
NPI issuedMar 29, 2012
Last updated in NPPESOct 11, 2013

Specialties and licenses

TaxonomyCodeLicenseState
Clinic/Center, Physical Therapy Primary261QP2000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

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