MID MISSOURI PHYSICAL THERAPY (NPI# 1891908612) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891908612 |
| Entity Type | Organization |
| Organization Name | MID MISSOURI PHYSICAL THERAPY |
| Practice Address |
2005 N. Missouri St. Suite D Macon MO 63552-0381 |
| Mailing Address |
Po Box 381 Macon MO 63552-0381 |
| Practice Telephone | 6603856540 |
| Practice Fax Number | 6603856542 |
| Mailing Telephone | 6603856540 |
| Mailing Fax Number | 6603856542 |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2009-07-17 |
| Authorized Official Name | PAUL VINCENT LANE (CEO) |
| Authorized Official Telephone | 6603856540 |
| Authorized Official Credential | P.T. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 02103 | MO | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
2005 N. MISSOURI ST. SUITE D |
| City | MACON |
| State | MO |
| Zip Code | 63552-0381 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841316296 | Paul Vincent Lane | Physical Therapist | 2005 N. Missouri St., Suite D, Macon, MO 63552-0381 | 2007-03-21 |
| 1871619262 | Abby M Lane | Physical Therapist | 2005 N. Missouri St., Suite D, Macon, MO 63552-0387 | 2007-03-21 |
| 1366568735 | Lara Beth Jones | Physical Therapist | 2005 N. Missouri St., Suite D., Macon, MO 63552-0381 | 2007-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891194783 | Dialysis Clinic Inc | Clinic/Center | 1203 N. Missouri St, Macon, MO 63552 | 2014-08-18 |
| 1477624161 | Charles Edgar Averill Jr. | Occupational Therapist | 704a South Missouri, Macon, MO 63552 | 2006-11-13 |
| 1629035084 | Missouri Cvs Pharmacy, L.L.C. | Pharmacy | 1105 N Rutherford St, Macon, MO 63552 | 2006-04-28 |
| 1659560688 | Iris Ladawn Gaerditz | Speech-Language Pathologist | 702 N Missouri St, Macon, MO 63552 | 2007-10-16 |
| 1457715906 | Kimberly Oroke | Social Worker | 821 Charles St, Columbia, MO 63552-1064 | 2016-04-11 |
| 1679100507 | Macon County Sheltered Workshop | Private Vehicle | 1103 Enterprise Rd, Macon, MO 63552-1305 | 2020-03-23 |
| 1538270384 | James A Wilson | Dentist | 509 S Missouri St, Macon, MO 63552-1338 | 2006-08-31 |
| 1700997566 | James A. Wilson Dds,pc | Dentist | 509 S Missouri St, Macon, MO 63552-1338 | 2006-08-31 |
| 1477653863 | Advanced Medical Equipment, Inc | Durable Medical Equipment & Medical Supplies | 1119 S Missouri St, Suite D, Macon, MO 63552-1399 | 2006-09-25 |
| 1073931465 | Rural Advocates for Independent Living | In Home Supportive Care | 205 E 2nd St, Macon, MO 63552-1402 | 2014-04-02 |
| Find all providers in zip 63552 | ||||
| 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 |
|---|---|---|---|---|
| 1952952103 | Natalie Slocumb | Physical Therapist | 4550 Arkwright Rd, Macon, GA 31210-1302 | 2019-09-27 |
| 1710473921 | R. Jason Kent Physical Therapy, LLC | Physical Therapist | 6010 Lakeside Commons Dr Ste D, Macon, GA 31210-5780 | 2018-07-11 |
| 1801388103 | Margaret Jayne Coddington | Physical Therapist | 5429 Bowman Rd Ste 140, Macon, GA 31210-8903 | 2018-06-01 |
| 1235648957 | Aegis Group Practice LLC | Physical Therapist | 300 Charter Blvd, Macon, GA 31210-4875 | 2017-09-26 |
| 1275061574 | Kasandra Grizzard Vanegas | Physical Therapist | 1014 Forsyth St # Street11, Macon, GA 31201-2051 | 2017-05-31 |
| 1306383773 | Tyler Belt | Physical Therapist | 1005 Overbrook Dr, Macon, MO 63552-2213 | 2017-01-24 |
| 1003287616 | Worldcare International Corporation | Physical Therapist | 4500 Billy Williamson Dr, Suite 9, Macon, GA 31206-8743 | 2015-10-08 |
| 1558760421 | Christy Andrews | Physical Therapist | 104 Yukon Rd, Macon, GA 31217-2112 | 2014-08-17 |
| 1881021228 | Anthony R Castro | Physical Therapist | 164 Summer Grove Ln, Macon, GA 31206-5234 | 2013-09-30 |
| 1316280589 | Emily Roe Estes Norris | Physical Therapist | 6010 Lakeside Commons Drive, Suite D, Macon, GA 31210 | 2013-04-05 |
| Find all providers in MACON | ||||
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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.