Active NPI
CMC Physical and Occupational Therapy
- Physical Therapist
- Blue Springs, MO
National Provider Identifier
1003697749
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- CMC PHYSICAL AND OCCUPATIONAL THERAPY
- Practice address
- 1131 W Main St Ste F
Blue Springs, MO 64015-3611 - Phone
- (816) 674-2693
- Fax
- (816) 229-7085
- NPI assigned
- Oct 9, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Aston Goldsworthy, DC, FNP-BC
- Title
- Ceo
- Phone
- (816) 674-2693
Specialties & licenses 11
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary | ||
| Geriatric Physical Therapist | 2251G0304X | |||
| Hand Physical Therapist | 2251H1200X | |||
| Neurology Physical Therapist | 2251N0400X | |||
| Sports Physical Therapist | 2251S0007X | |||
| Orthopedic Physical Therapist | 2251X0800X | |||
| Environmental Modification Occupational Therapist | 225XE0001X | |||
| Gerontology Occupational Therapist | 225XG0600X | |||
| Hand Occupational Therapist | 225XH1200X | |||
| Neurorehabilitation Occupational Therapist | 225XN1300X | |||
| Physical Rehabilitation Occupational Therapist | 225XP0019X |
Addresses
Primary practice location
1131 W Main St Ste F
Blue Springs, MO 64015-3611
Mailing address
1131 W Main St Ste F
Blue Springs, MO 64015-3611
Phone (816) 674-2693
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1696809600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1696809600000",
"number": "1003697749",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1131 W MAIN ST STE F",
"city": "BLUE SPRINGS",
"state": "MO",
"postal_code": "640153611",
"telephone_number": "816-674-2693",
"fax_number": "816-229-7085"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1131 W MAIN ST STE F",
"city": "BLUE SPRINGS",
"state": "MO",
"postal_code": "640153611",
"telephone_number": "816-674-2693",
"fax_number": "816-229-7085"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CMC PHYSICAL AND OCCUPATIONAL THERAPY",
"organizational_subpart": "NO",
"enumeration_date": "2023-10-09",
"last_updated": "2023-10-09",
"certification_date": "2023-10-09",
"status": "A",
"authorized_official_last_name": "GOLDSWORTHY",
"authorized_official_first_name": "ASTON",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "816-674-2693",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC, FNP-BC"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
},
{
"code": "2251G0304X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist, Geriatrics",
"state": null,
"license": null,
"primary": false
},
{
"code": "2251H1200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist, Hand",
"state": null,
"license": null,
"primary": false
},
{
"code": "2251N0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist, Neurology",
"state": null,
"license": null,
"primary": false
},
{
"code": "2251S0007X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist, Sports",
"state": null,
"license": null,
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist, Orthopedic",
"state": null,
"license": null,
"primary": false
},
{
"code": "225XE0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist, Environmental Modification",
"state": null,
"license": null,
"primary": false
},
{
"code": "225XG0600X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist, Gerontology",
"state": null,
"license": null,
"primary": false
},
{
"code": "225XH1200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist, Hand",
"state": null,
"license": null,
"primary": false
},
{
"code": "225XN1300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist, Neurorehabilitation",
"state": null,
"license": null,
"primary": false
},
{
"code": "225XP0019X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist, Physical Rehabilitation",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Blue Springs, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.