MISSOURI CENTRAL PHYSICAL THERAPY, LLC (NPI# 1407044548) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407044548 |
| Entity Type | Organization |
| Organization Name | MISSOURI CENTRAL PHYSICAL THERAPY, LLC |
| Other Organization Name | MEXICO PHYSICAL THERAPY |
| Practice Address |
2759 A South Clark Mexico MO 65265 |
| Practice Telephone | 5735811880 |
| Practice Fax Number | 5735816678 |
| Mailing Telephone | 5735811880 |
| Mailing Fax Number | 5735816678 |
| Enumeration Date | 2007-10-12 |
| Last Update Date | 2009-03-30 |
| Authorized Official Name | KANE FREEMAN (CO-OWNER/ PT) |
| Authorized Official Telephone | 5735811880 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| Other Name | Type Code |
|---|---|
| Mexico Physical Therapy | Doing Business As Name - Organization |
| Street Address |
2759 A SOUTH CLARK |
| City | MEXICO |
| State | MO |
| Zip Code | 65265 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700448685 | Joanna Zidick Mcclarey | Specialist/Technologist | Rehabilitation Services, 711 E Jackson, Mexico, MO 65265 | 2019-07-01 |
| 1053858050 | Glenna Wilson | Social Worker | 2462 Southern Hls, Mexico, MO 65265 | 2017-01-27 |
| 1457601759 | Bruce Warren Garrett | Dentist | 626 Summit, Mexico, MO 65265 | 2012-09-13 |
| 1063775997 | Brandon Jay Glasgow | Physical Therapist | 2759 A S Clark, Mexico, MO 65265 | 2012-06-15 |
| 1194925628 | Curators of The University of Missouri | Orthopaedic Surgery | 515 East Promenade, Mexico, MO 65265 | 2007-07-23 |
| 1740496199 | Scott Simmons | Family Medicine | 1000 Webster Street, Mexico, MO 65265 | 2007-05-15 |
| 1083741664 | Finck & Associates, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 17079 Audrain County Road 929, Mexico, MO 65265 | 2007-02-28 |
| 1417005893 | Matthew Eugene Hart | Emergency Medicine | 620 E Monroe Street, Mexico, MO 65265 | 2007-01-08 |
| 1144392051 | Corrine M Floyd | Massage Therapist | 713 East Jackson, Mexico, MO 65265 | 2006-11-15 |
| 1225123268 | Curators of The University of Missouri | Clinic/Center | 515 E Promenade, Mexico, MO 65265 | 2006-10-04 |
| Find all providers in zip 65265 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184058059 | Kimberly Perth | Specialist | 28 Sage Creek Rd, Mexico, NY 13114-3199 | 2013-08-28 |
| 1477761492 | Jeffrey Michael Couch | Specialist | 520 W Jackson St, Mexico, MO 65265-1937 | 2007-05-21 |
| 1992847917 | Pamela J Allen | Specialist | 216 Co Rt 64, Mexico, NY 13114 | 2007-02-13 |
| 1700835048 | Eagle Rehabilitation, LLC | Specialist | 222 E Jackson St, Mexico, MO 65265-2821 | 2006-05-05 |
| 1760484638 | Raymond H Wilbers | Specialist | 625 E Summit St, Mexico, MO 65265-3294 | 2005-08-11 |
| 1760906713 | Ashlee M Thompson | Specialist | 216 County Route 64, Mexico, NY 13114-3229 | 2017-08-01 |
| 1609216415 | Timothy L Cormier | Specialist | 89 Main St, Mexico, ME 04257-1440 | 2013-06-26 |
| 1932448107 | Robert Inzalaco | Specialist | 216 County Route 64, Mexico, NY 13114-3229 | 2013-02-08 |
| 1598015539 | Beth Croll Mackenzie | Specialist | 216 County Route 64, Mexico, NY 13114-3229 | 2012-09-18 |
| 1619238524 | Holly Ann Besaw | Specialist | 216 County Route 64, Mexico, NY 13114-3229 | 2012-06-06 |
| Find all providers in MEXICO | ||||
Please comment or provide details below to improve the information on MISSOURI CENTRAL PHYSICAL THERAPY, LLC.
| 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.