JUNCTION BRACING & PT (NPI# 1801419601) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801419601 |
| Entity Type | Organization |
| Organization Name | JUNCTION BRACING & PT |
| Other Organization Name | EMBRACE |
| Practice Address |
4924d Sean Drive Imperial MO 63052 |
| Mailing Address |
4537 Brighton Ct High Ridge MO 63049-3239 |
| Practice Telephone | 6362248744 |
| Mailing Telephone | 3142650033 |
| Enumeration Date | 2020-05-27 |
| Last Update Date | 2020-09-02 |
| Authorized Official Name | JULIE CHRISTINE WATKINS (OWNER) |
| Authorized Official Telephone | 3142650033 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Other Name | Type Code |
|---|---|
| EmBrace | Doing Business As Name - Organization |
| Street Address |
4924D SEAN DRIVE |
| City | IMPERIAL |
| State | MO |
| Zip Code | 63052 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043869456 | Susan Hawthorne | Technician | 2918 Sunridge Place, Imperial, MO 63052 | 2019-09-09 |
| 1275877805 | Ride On St Louis, Inc. | Residential Treatment Facility, Physical Disabilities | 6008 Windsor Harbor Ln, Imperial, MO 63052 | 2012-11-20 |
| 1861778029 | Kelli Allen | Counselor | 6106 Kensington Court, Imperial, MO 63052 | 2011-11-01 |
| 1972730091 | Laura Ann Bequette | Optometrist | 1259 Main Street Plaza, Imperial, MO 63052 | 2009-06-16 |
| 1437329133 | All Care Transport, Inc. | Non-emergency Medical Transport (VAN) | 5844 Hwy. 61-67, Imperial, MO 63052 | 2008-03-10 |
| 1578029419 | Laura Lea Raineri | Nurse Practitioner | 1254 Main St, Imperial, MO 63052 | 2019-02-15 |
| 1033362900 | Angela Fears | Speech-Language Pathologist | 6208 Us Highway 61/67, Imperial, MO 63052 | 2008-10-23 |
| 1437302379 | Mary Peterein | Speech-Language Pathologist | 6208 Us Highway 61/67, Imperial, MO 63052 | 2008-10-23 |
| 1780651984 | Charles J Johnson | Chiropractor | 1006 Main Street, Suite B, Imperial, MO 63052 | 2006-03-07 |
| 1336381029 | Kimberly Garrett | Counselor | 3645 Blecha Rd, Imperial, MO 63052-1123 | 2009-03-27 |
| Find all providers in zip 63052 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922605591 | Brendan Lee Thompson | Physical Therapist | 8356 Musick Memorial Dr, Saint Louis, MO 63144-2914 | 2020-10-06 |
| 1295349520 | Katie Bader | Physical Therapist | 118 Richardson Xing, Arnold, MO 63010-6023 | 2020-09-03 |
| 1922629260 | Larry Dean Skeen Jr. | Physical Therapist | 1245 Banning Street, Marshfield, MO 65706 | 2020-04-28 |
| 1124656574 | Richard Dean Maas | Physical Therapist | 2230 W Sunset St, Springfield, MO 65807-5980 | 2020-03-31 |
| 1063059780 | Adam Sparks | Physical Therapist | 722 N State Highway 47 Ste A, Warrenton, MO 63383-1108 | 2019-12-01 |
| 1366928350 | Jeffrey D Bundrick | Physical Therapist | Whiteman Air Force Base, Knob Noster, MO 65305 | 2018-07-13 |
| 1982125944 | Zachary T Winchester | Physical Therapist | 3860 Vogel Rd, Arnold, MO 63010-3776 | 2017-06-29 |
| 1639618457 | Brittany Hogan | Physical Therapist | 7412 South Outer 364, Suite B, Dardenne Prairie, MO 63368 | 2017-02-13 |
| 1003271487 | Scott Lawrence Jones | Physical Therapist | 912 W 78th St, Kansas City, MO 64114-1761 | 2015-12-29 |
| 1588093306 | Misty Brooks | Physical Therapist | 407 E Russell Ave Ste 6, Warrensburg, MO 64093-1242 | 2013-11-02 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on JUNCTION BRACING & PT.
| 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.