CAMDEN COMMERFORD – Physical Therapist, NPI 1104771617

CAMDEN COMMERFORD is a healthcare provider. based in Shawnee, Kansas. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. The NPI Number for CAMDEN COMMERFORD is 1104771617

Main info

Male
1 Year Of Experience
Name
CAMDEN COMMERFORD
NPI
1104771617
Phone
(913) 745-4064
Address
22120 MIDLAND DR STE 1
Enumeration Date
2 March 2026
Last Update Date
24 April 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8169444244
Graduation Year
2025 (1 year ago)
PAC ID
7315413127
Group Practice PAC ID
5991935579
Professional Enrollment ID
I20260420001145
Address ID
MO640811425LE401XXRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience15
Completeness85
Years active:0State licenses:0Digital endpointsOther names

1,533 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MO

Provider Addresses for CAMDEN COMMERFORD

  • 22120 MIDLAND DR STE 1

    SHAWNEE, KS 662263554

    Phone: (913) 745-4064

    Fax: (913) 745-4352

    Type: Mailing

  • 401 NW MURRAY RD

    LEES SUMMIT, MO 640811425

    Phone: (816) 944-4244

    Type: Location

  • 7524 GRANDVIEW LN

    OVERLAND PARK, KS 662042338

    Phone: (913) 952-3068

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 66226)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5991935579View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeKS
Physical Therapist In Private PracticeKS
Occupational Therapist In Private PracticeMO
Physical Therapist In Private PracticeKS
Occupational Therapist In Private PracticeVA
Physical Therapist In Private PracticeKS
Physical Therapist In Private PracticeTN
Occupational Therapist In Private PracticeMO
Physical Therapist In Private PracticeKS
C H I R O P R A C T I CKS

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Frequently asked questions

Is CAMDEN COMMERFORD listed with a National Provider Identifier?
Yes — CAMDEN COMMERFORD has NPI 1104771617 on file in the registry.
Would CAMDEN COMMERFORD appear as active to a payer?
You can treat CAMDEN COMMERFORD as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for CAMDEN COMMERFORD?
At a glance, CAMDEN COMMERFORD is tied to Physical Therapist. Clinical services aligned with this taxonomy classification.
What locale is associated with CAMDEN COMMERFORD?
Directory geography for CAMDEN COMMERFORD centers on Shawnee, Kansas.
When was this NPI issued?
Enumeration for CAMDEN COMMERFORD is noted as March 2, 2026 where the registry provides it.

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