FREDERIC LEE GOTTMAN (NPI# 1578896049) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578896049 |
| Entity Type | Individual |
| Full Name | FREDERIC LEE GOTTMAN |
| Credential | DPT |
| Practice Address |
300 N Morley St Moberly MO 65270-2334 |
| Practice Telephone | 6602636223 |
| Practice Fax Number | 6602636224 |
| Mailing Telephone | 6602636223 |
| Mailing Fax Number | 6602636224 |
| Enumeration Date | 2009-09-15 |
| Last Update Date | 2009-09-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 2002007884 | MO | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
300 N MORLEY ST |
| City | MOBERLY |
| State | MO |
| Zip Code | 65270-2334 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962401430 | Randy A Foster | Family Medicine | 300 N Morley St, Suite G, Moberly, MO 65270-2334 | 2005-07-18 |
| 1659987584 | Sams Prescription Shop Inc | Pharmacy | 300 N Morley St, Moberly, MO 65270-2334 | 2020-09-16 |
| 1558970475 | Brandie Lynn Wilkerson | Pharmacist | 300 N Morley St, Moberly, MO 65270-2334 | 2020-07-27 |
| 1609233956 | Rhonda Cachero | Pharmacist | 300 N Morley St, Moberly, MO 65270-2334 | 2016-01-18 |
| 1295092419 | Moberly Hospital Company LLC | Clinic/Center | 300 N Morley St, Ste G/h, Moberly, MO 65270-2334 | 2012-04-12 |
| 1336464361 | Jill R Darwent | Pharmacist | 300 N Morley St, Moberly, MO 65270-0957 | 2010-04-01 |
| 1972828242 | Salim S Tadrus | Pharmacist | 300 N Morley St, Moberly, MO 65270-2334 | 2010-03-30 |
| 1336390822 | Kathleen A Kinnaman | Nurse Practitioner | 300 N Morley St, Ste A-c, Moberly, MO 65270-2334 | 2008-10-02 |
| 1134137391 | Foster Family Medicine & Associates LLC | Family Medicine | 300 N Morley St, Moberly, MO 65270-2334 | 2006-08-04 |
| 1568453397 | Sams Prescription Shop Inc | Pharmacy | 300 N Morley St, Moberly, MO 65270-2334 | 2005-11-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538628052 | Thomas Johnston | Physical Therapist | Thrive Physical Therapy, LLC, 417 E Urbandale Drive, Moberly, MO 65270 | 2019-03-14 |
| 1245709682 | Sam's Prescription Shop, Inc. | Durable Medical Equipment & Medical Supplies | 300 N. Morley Street, Moberly, MO 65270 | 2018-11-15 |
| 1639324585 | Trinidad J. Aguilera | General Practice | 5201 South Morley, Moberly, MO 65270 | 2008-11-19 |
| 1023270170 | Jessica Winn | Internal Medicine | 1513 Union Ave Ste 1500, Moberly, MO 65270 | 2008-06-30 |
| 1629237383 | Heather Ann Lavalley | Physical Therapy Assistant | 1346 S Morley, Moberly, MO 65270 | 2008-06-06 |
| 1265602429 | Mckenzie Prescription Center Inc | Hearing Aid Equipment | 643 N Morley St Ste A, Moberly, MO 65270 | 2008-03-04 |
| 1366624165 | Sharon Kay Steele | Military Hospital | 1510 Highway Jj Lot41, Moberly, MO 65270 | 2007-12-04 |
| 1932241536 | Christian S Tadrus | Pharmacist | 530 E. 24 Highway, (26-39586), Moberly, MO 65270 | 2007-02-12 |
| 1588700140 | Heartland Neurology, LLC | Psychiatry & Neurology | 300 N. Morley, Suite H, Moberly, MO 65270 | 2007-01-30 |
| 1164571519 | John James Oloughlin | Dentist | 1616 N Morely, Ste B, Moberly, MO 65270 | 2007-01-08 |
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| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568029148 | Thrive Physical Therapy, LLC | Physical Therapist | 417 E Urbandale Dr, Moberly, MO 65270-1936 | 2019-05-20 |
| 1538628052 | Thomas Johnston | Physical Therapist | Thrive Physical Therapy, LLC, 417 E Urbandale Drive, Moberly, MO 65270 | 2019-03-14 |
| 1477868990 | Ashley Nicole Moore | Physical Therapist | 2100 Silva Ln Ste B, Peak Sport and Spine, Moberly, MO 65270-3600 | 2010-08-09 |
| 1437290194 | Moberly Public Schools | Physical Therapist | 1623 Gratz Brown St, Moberly, MO 65270-1994 | 2007-02-08 |
| 1225100837 | Reliant Care Management Company | Physical Therapist | 1346 S Morley St, Moberly, MO 65270-1943 | 2006-11-15 |
| 1518343292 | Lynn Nicole Netzer | Physical Therapist | 2100 Silva Ln, Ste B, Moberly, MO 65270-3600 | 2015-08-05 |
| 1356513667 | Jennifer Lynn Epperson | Physical Therapist | 2100 Silva Ln, Suite B, Moberly, MO 65270-3600 | 2008-03-26 |
| 1174706444 | Katie Chitwood | Physical Therapist | 1346 S Morley St, Moberly, MO 65270-1943 | 2007-12-10 |
| 1578684510 | Jason Anthony Mcclary | Physical Therapist | 1346 S Morley St, Moberly, MO 65270-1943 | 2007-04-03 |
| 1447306725 | Wendell K Nall | Physical Therapist | 1515 Union Ave, Moberly, MO 65270-9407 | 2007-01-26 |
| Find all providers in MOBERLY | ||||
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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.