THOMAS HARGRAVE (NPI# 1467973412) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1467973412 |
Entity Type | Individual |
Full Name | THOMAS HARGRAVE |
Credential | DPT, ATC, CSCS |
Practice Address |
3801 Selsa Rd Ste 7 Independence MO 64057-1712 |
Mailing Address |
2923 Nw Mill Dr Blue Springs MO 64015-3479 |
Practice Telephone | 8167950434 |
Mailing Telephone | 6606469043 |
Enumeration Date | 2017-06-29 |
Last Update Date | 2017-06-29 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2251S0007X |
Physical Therapist Specialization: Sports |
2017021415 | MO | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023076692 | Thomas B Hargrave IIi | Internal Medicine | 300 Frank Ogawa Plaza, Suite 450, Oakland, CA 94612 | 2006-05-03 |
Street Address |
3801 SELSA RD STE 7 |
City | INDEPENDENCE |
State | MO |
Zip Code | 64057-1712 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992144422 | Tyler Anderson | Physical Therapist | 3801 Selsa Rd Ste 7, Independence, MO 64057-1712 | 2013-06-18 |
1992367205 | Dylan Hoz-kurland | Physical Therapist | 3801 Selsa Rd Ste 7, Independence, MO 64057-1712 | 2019-07-08 |
1831751841 | Zachary Lee Hershberger | Physical Therapist | 3801 Selsa Rd Ste 7, Independence, MO 64057-1712 | 2019-07-01 |
1740701309 | Abbey Elizabeth Gebhardt | Physical Therapist | 3801 Selsa Rd Ste 7, Independence, MO 64057-1712 | 2017-07-03 |
1649619859 | Michael Gard | Physical Therapist | 3801 Selsa Rd Ste 7, Independence, MO 64057-1712 | 2013-06-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174002364 | Justine Barye Bolton | Physical Therapist | 2301 South 291 Highway, Independence, MO 64057 | 2018-08-09 |
1194230136 | Brantley Vincent Niendick | Occupational Therapist | 2301 S M 291 Hwy, Independence, MO 64057 | 2017-12-13 |
1437693561 | Derek Faulkner | Counselor | 2400 Little Blue Pkwy, Independence, MO 64057 | 2016-12-08 |
1578916136 | Jared Donald Gerstenkorn | Physical Therapist | 2301 South Highway 291, Independence, MO 64057 | 2016-07-19 |
1295198182 | Jennifer J Allen | Nurse Practitioner | 2310 Castle Drive, Independence, MO 64057 | 2016-03-30 |
1750750808 | Lisa Louise Freeman | Physical Therapy Assistant | 3980 S Jackson Dr, Independence, MO 64057 | 2015-09-18 |
1437543592 | Harold Epps | Specialist/Technologist | 2301 South Mo 291 Highway, Independence, MO 64057 | 2015-03-26 |
1245620426 | Holly Morgan | Occupational Therapist | 3980 S Jackson Dr., Independence, MO 64057 | 2015-01-27 |
1093128159 | Jennifer Falk Crumbaugh | Dentist | 3151 S. M-291 Highway, Suite A, Independence Mo, MO 64057 | 2014-06-06 |
1952711954 | Judy Bray | Occupational Therapy Assistant | 3980 East Jackson Drive, Independence, MO 64057 | 2014-04-30 |
Find all providers in zip 64057 |
Taxonomy Code | 2251S0007X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Physical Therapist |
Specialization | Sports |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447652540 | Jay L Maturan | Physical Therapist | 605 E Booneslick Rd Ste 3, Warrenton, MO 63383-2127 | 2014-09-19 |
1306255005 | Kara Evens | Physical Therapist | 17300 North Outer 40 Rd, Suite 202, Chesterfield, MO 63005-1375 | 2014-08-06 |
1427060250 | Herbert Jones Haman | Physical Therapist | 850 E San Martin St, Bolivar, MO 65613-2897 | 2006-08-12 |
1235160193 | Douglas D Lenners | Physical Therapist | 801 Riverside, Suite 250, St. Joseph, MO 64505 | 2006-07-06 |
1114303369 | Kevin Murray | Physical Therapist | 78 Kenrick Plz, Saint Louis, MO 63119-4414 | 2015-08-10 |
1376923730 | Benjamin Kuster | Physical Therapist | 1002 Diamond Rdg, Jefferson City, MO 65109-6896 | 2015-06-01 |
1639502610 | Todd A Chollet | Physical Therapist | 78 Kenrick Plz, Saint Louis, MO 63119-4414 | 2013-08-14 |
1881942571 | Boost Physical Therapy & Sport Perforance | Physical Therapist | 1254 Se Century Dr, Lees Summit, MO 64081-3286 | 2012-08-28 |
1205184066 | Aaron A Degreeff | Physical Therapist | 78 Kenrick Plz, Saint Louis, MO 63119-4414 | 2012-08-27 |
1528339629 | Keith Sanders | Physical Therapist | 1000 Camera Ave, Saint Louis, MO 63126-1037 | 2012-01-20 |
Find all providers with the same taxonomy |
City | INDEPENDENCE |
Zip Code | 64057 |
Please comment or provide details below to improve the information on THOMAS HARGRAVE.
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.