MRS. MARY JO SPROUSE (NPI# 1336301464) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336301464 |
| Entity Type | Individual |
| Full Name | MRS. MARY JO SPROUSE |
| Credential | PT |
| Practice Address |
10456 Us Highway 62 Calvert City KY 42029-9020 |
| Mailing Address |
114 Ivey Rd Benton KY 42025-5347 |
| Practice Telephone | 2708986240 |
| Mailing Telephone | 2705279801 |
| Enumeration Date | 2008-06-30 |
| Last Update Date | 2008-06-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2251G0304X |
Physical Therapist Specialization: Geriatrics |
PT001024E | PA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 2251G0304X |
Physical Therapist Specialization: Geriatrics |
05009431A | IN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 2251G0304X |
Physical Therapist Specialization: Geriatrics |
PT - 000849 | KY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
10456 US HIGHWAY 62 |
| City | CALVERT CITY |
| State | KY |
| Zip Code | 42029-9020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710060736 | Kimberly Blackburn | Counselor | 10456 Us Highway 62, Calvert City, KY 42029-9020 | 2006-10-23 |
| 1619218385 | Lp Calvert City, LLC | Skilled Nursing Facility | 10456 Us Highway 62, Calvert City, KY 42029-9020 | 2013-03-06 |
| 1740437607 | Dawn Brooks | Occupational Therapy Assistant | 10456 Us Highway 62, Calvert City, KY 42029-9020 | 2008-08-22 |
| 1194972067 | Jeannie Diane Downs | Speech-Language Pathologist | 10456 Us Highway 62, Calvert City, KY 42029-9020 | 2008-08-22 |
| 1164679072 | Amanda Michelle Travis | Physical Therapy Assistant | 10456 Us Highway 62, Calvert City, KY 42029 | 2008-08-21 |
| 1316194343 | Lauren Renee Coomer | Occupational Therapist | 10456 Us Highway 62, Calvert City, KY 42029-9020 | 2008-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619497179 | Sunetta Barrett | Registered Nurse | 563 East 5th Ave, Calvert City, KY 42029 | 2017-06-26 |
| 1649790882 | Cynthia Jill Landon | Registered Nurse | 3110 Hwy 95, Calvert City, KY 42029 | 2017-06-20 |
| 1285018564 | Jason Doughty | Physical Therapy Assistant | 186 Breeze Lane, Calvert City, KY 42029 | 2015-07-16 |
| 1104127125 | Gary Webster Smith | Dentist | 404 Fifth Ave., Calvert City, KY 42029 | 2010-11-08 |
| 1750694972 | Marshall County Health Department | Public Health or Welfare | 503 A 5th Ave S.e., Calvert City, KY 42029 | 2010-07-16 |
| 1578727491 | Jenny Sanderson Story | Speech-Language Pathologist | 110 Convalescent Dr, Calvert City, KY 42029 | 2008-07-10 |
| 1285897678 | Michele Christine Stariwat | Occupational Therapy Assistant | 110 Convalescent Drive, Calvert City, KY 42029 | 2008-07-07 |
| 1194986984 | Scott C Stephenson | Chiropractor | 1665 Oak Park Boulevard, Suite A, Calvert City, KY 42029 | 2008-06-24 |
| 1477735694 | John P Lyles Optometrist | Optometrist | 43 Industrial Parkway, Calvert City, KY 42029 | 2007-11-29 |
| 1528254299 | Andrea Norenne Jennings | Massage Therapist | 5119 U.S. Highway 62, Calvert City, KY 42029 | 2007-09-17 |
| Find all providers in zip 42029 | ||||
| Taxonomy Code | 2251G0304X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Geriatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619436409 | Audrey B Veith | Physical Therapist | 1808 Milburt Dr, Louisville, KY 40223-1210 | 2019-03-19 |
| 1639640311 | Colin Cummins Barnhill | Physical Therapist | 2510 Brighton Dr, Louisville, KY 40205-3028 | 2018-12-06 |
| 1417438912 | Jayne Gattozzi Feldman | Physical Therapist | 3802 Turkeyfoot Rd, Elsmere, KY 41018-2838 | 2018-08-23 |
| 1346740644 | Susan R Castle | Physical Therapist | 710 East Main Street, Lexington, KY 40502 | 2018-02-14 |
| 1336667690 | Anthony Shawn Prater | Physical Therapist | 710 E. Main St., Lexington, KY 40502 | 2017-09-06 |
| 1407276942 | Karen Margaret Stratton | Physical Therapist | 3371 Mantilla Dr, Lexington, KY 40513-1021 | 2014-04-23 |
| 1083985444 | Katrina Jean Rollins | Physical Therapist | 3100 Charles St, Ashland, KY 41102-5827 | 2012-01-18 |
| 1750581161 | Dennis C Lesch | Physical Therapist | 115 Travois Rd, Louisville, KY 40207-1601 | 2007-07-23 |
| 1083176465 | Amy Canter Thompson | Physical Therapist | 710 E Main St, Lexington, KY 40502-1668 | 2019-04-03 |
| 1235697152 | Angela Weddle | Physical Therapist | 371 W Main St, Brodhead, KY 40409-8893 | 2019-03-10 |
| Find all providers with the same taxonomy | ||||
| City | CALVERT CITY |
| Zip Code | 42029 |
Please comment or provide details below to improve the information on MRS. MARY JO SPROUSE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.