PARK PLAZA PHYSICAL THERAPY LIMITED PARTNERSHIP (NPI# 1538357074) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1538357074 |
Entity Type | Organization |
Organization Name | PARK PLAZA PHYSICAL THERAPY LIMITED PARTNERSHIP |
Other Organization Name | BACK IN MOTION PHYSICAL THERAPY |
Practice Address |
4350 S National Ave Suite A108 Springfield MO 65810-2607 |
Practice Telephone | 4178238670 |
Practice Fax Number | 4178238625 |
Enumeration Date | 2007-10-10 |
Last Update Date | 2010-11-02 |
Authorized Official Name | CHRISTOPHER D CORRIGAN (VP, AUTHORIZED OFFICIAL) |
Authorized Official Telephone | 7132977000 |
Authorized Official Credential | JD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
Other Name | Type Code |
---|---|
Back in Motion Physical Therapy | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245333418 | Park Plaza Physical Therapy Limited Partnership | Clinic/Center | 4350 S National Ave, Suite A108, Springfield, MO 65810-2607 | 2006-09-06 |
Street Address |
4350 S NATIONAL AVE SUITE A108 |
City | SPRINGFIELD |
State | MO |
Zip Code | 65810-2607 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710983291 | Armin Jared Wagman | Pediatrics | 4350 S National Ave, # C-100, Springfield, MO 65810-2607 | 2005-06-21 |
1245613322 | Robert L Denney | Clinical Neuropsychologist | 4350 S National Ave, Suite B116, Springfield, MO 65810-2607 | 2015-07-07 |
1932511060 | Raechelle Hansen | Dentist | 4350 S National Ave, Suite #c-112, Springfield, MO 65810-2607 | 2014-05-23 |
1740604974 | Jennifer Acord | Counselor | 4350 S National Ave, Suite B-116, Springfield, MO 65810-2607 | 2014-02-07 |
1891033973 | Andrew Christian Vandas | Physician Assistant | 4350 S National Ave, Suite C200, Springfield, MO 65810-2607 | 2013-01-23 |
1780839019 | Cecelia Harris | Physical Therapist | 4350 S National Ave, Suite B116, Springfield, MO 65810-2607 | 2008-12-01 |
1184875452 | Nancy Joan Dickey | Occupational Therapist | 4350 S National Ave, Suite B 116, Springfield, MO 65810-2607 | 2008-10-06 |
1134388242 | Dawn Marie Rodriguez | Counselor | 4350 S National Ave, Suite B-116, Springfield, MO 65810-2607 | 2008-06-04 |
1295921179 | Nancy Jo Mcbride | Counselor | 4350 S National Ave, Suite B-116, Springfield, MO 65810-2607 | 2007-09-24 |
1922290725 | Bradley Michael Newberry | Dentist | 4350 S National Ave, Springfield, MO 65810-2607 | 2007-08-15 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
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1508373838 | Sunterra Springfield Oc, LLC | Skilled Nursing Facility | 4935 S National Ave, Springfield, MO 65810 | 2018-01-09 |
1982119392 | Boyoung Park | Specialist/Technologist | 4355 S National Ave Apt 905, Springfield, MO 65810 | 2017-12-07 |
1578086310 | Missouri Telerad LLC | Radiology | 5117 South Neffleton Avenue, Springfiled, MO 65810 | 2017-07-24 |
1245597285 | Intrepid of Missouri, Inc. | Hospice Care, Community Based | 4305 S. National Ave., Springfield, MO 65810 | 2012-04-16 |
1700199668 | Telerad of Mo Account Management, LLC | Radiology | 5117 S. Neffleton Ave, Springfield, MO 65810 | 2010-07-21 |
1427286251 | Sam's Club Optical | Eyewear Supplier (Equipment, not the service) | 745 W El Camino Alto Drive, Springfield (s), MO 65810 | 2009-07-01 |
1033344304 | Teresa Mary Kaelin | Occupational Therapist | 3291 W. Ridge Run, Springfield, MO 65810 | 2009-05-15 |
1538366448 | Rani K Nair | Internal Medicine | 3231 S National Mercy Endocrineology, Ste 440, Springfield, MO 65810 | 2007-07-03 |
1467672519 | Missouri Dental Professionals, Richard Straus, Dmd, PC | Dentist | 4955 S. National Ave., Unit A, Springfield, MO 65810 | 2007-04-30 |
1336161983 | Leo Allan Tokarczyk | Dentist | 4777 S National Ave, Springfield, MO 65810 | 2006-07-24 |
Find all providers in zip 65810 |
Taxonomy Code | 332B00000X |
Grouping | Suppliers |
Classification | Durable Medical Equipment & Medical Supplies |
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
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1902407646 | Troutman Enterprises, LLC | Durable Medical Equipment & Medical Supplies | 5337 S Campbell Ave Ste A2, Springfield, MO 65810-2494 | 2020-11-07 |
1497315493 | Common Sleep, LLC | Durable Medical Equipment & Medical Supplies | 3246 S National Ave, Springfield, MO 65807-7303 | 2019-06-20 |
1649744467 | Mednav, LLC | Durable Medical Equipment & Medical Supplies | 53 Linden Ln, Springfield, IL 62712-8928 | 2019-01-15 |
1871065839 | Riverwood Medical Incorporated | Durable Medical Equipment & Medical Supplies | 7830 Backlick Rd Ste 100a, Springfield, VA 22150-2205 | 2018-12-31 |
1700358827 | Darlan Medical Incorporated | Durable Medical Equipment & Medical Supplies | 7830 Backlick Rd Ste 100b, Springfield, VA 22150-2205 | 2018-12-31 |
1912475484 | Show Me Systems LLC | Durable Medical Equipment & Medical Supplies | 3755 N State Highway H, Springfield, MO 65803-7137 | 2018-11-02 |
1346727567 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 2155 Main Street, Suite 131/133, Springfield, MA 01104 | 2018-07-20 |
1720570799 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1150 N 5th St Ste B, Springfield, IL 62702-6366 | 2018-06-05 |
1386146405 | Slocum Orthopedics, PC | Durable Medical Equipment & Medical Supplies | 3377 Riverbend Dr Ste 300, Springfield, OR 97477-8804 | 2018-03-05 |
1326546045 | Howard Datz | Durable Medical Equipment & Medical Supplies | 6880 Commercial Dr # 38, Springfield, VA 22151-4201 | 2018-01-28 |
Find all providers in SPRINGFIELD |
City | SPRINGFIELD |
Zip Code | 65810 |
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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.