Cynthia May Halbrook, M.P.T.

Individual provider Active NPI Physical Therapist · Weldon Spring, MO

NPI 1003067729 · NPPES record last updated Oct 1, 2008

Key facts

NPI
1003067729
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
2007022854 (MO)
Practice address
5150 Rosemount Dr
Weldon Spring, MO 63304-7585
Phone
(636) 448-4555
NPI assigned
Oct 1, 2008
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
2007022854MOMDPhysical Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2007022854 MO Yes

Addresses

Primary practice location

5150 Rosemount Dr
Weldon Spring, MO 63304-7585

Mailing address

5150 Rosemount Dr
Weldon Spring, MO 63304-7585
Phone (636) 448-4555

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 1, 2008.

{
    "created_epoch": "1222819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222819200000",
    "number": "1003067729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5150 ROSEMOUNT DR",
            "city": "WELDON SPRING",
            "state": "MO",
            "postal_code": "633047585",
            "telephone_number": "636-448-4555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5150 ROSEMOUNT DR",
            "city": "WELDON SPRING",
            "state": "MO",
            "postal_code": "633047585",
            "telephone_number": "636-448-4555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALBROOK",
        "first_name": "CYNTHIA",
        "middle_name": "MAY",
        "name_prefix": "Miss",
        "credential": "M.P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-01",
        "last_updated": "2008-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2007022854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weldon Spring, MO

All providers in Weldon Spring, MO · Physical Therapist in Missouri

Sources for this page

Verify at the official NPI Registry.