Mandy Jolene Schlesselmann, PT, ATC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2005019093 Issued in MO

Practice address

1887 N Hwy CC
Nixa, MO 65714-8015

Phone

(417) 725-5774

NPI assigned

Mar 16, 2007

Last updated

May 9, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399593600000",
    "number": "1023132057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1887 N HWY CC",
            "city": "NIXA",
            "state": "MO",
            "postal_code": "657148015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1887 N HWY CC",
            "city": "NIXA",
            "state": "MO",
            "postal_code": "657148015",
            "telephone_number": "417-725-5774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHLESSELMANN",
        "first_name": "MANDY",
        "middle_name": "JOLENE",
        "credential": "PT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-16",
        "last_updated": "2014-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2005019093",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT 36445",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MO",
            "license": "2004022186",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carlee Rozell
• Emillia Marie Bratanov Sanders, PA-C
• Rebecca Lynn Sandgren, RPH
• Adrienne Sanford, OT
• Jennifer Savage
• Kathleen G. Schlueter, MS
• Katelyn Scott, PTA
• Kerry Scott, PT
• Patricia Scott
• Sheila Renee Seal, M.S, CCC-SLP

• Physical Therapist in Nixa, MO
• Providers in Nixa, MO by specialty
• Physical Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.