Active NPI
Patricia Ann Niehoo, P.T.
- Physical Therapist
- Pacific, MO
National Provider Identifier
1033423777
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 00648
- Practice address
- 307 Noonan Dr
Suite 100
Pacific, MO 63069-1136 - Phone
- (636) 271-9995
- Fax
- (636) 271-9151
- NPI assigned
- Aug 5, 2010
- Last updated
- Aug 5, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 00648 | MO | Primary |
Addresses
Primary practice location
307 Noonan Dr
Suite 100
Pacific, MO 63069-1136
Mailing address
307 Noonan Dr
Suite 100
Pacific, MO 63069-1136
Phone (636) 271-9995
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00648 | MO | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280966400000",
"number": "1033423777",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "307 NOONAN DR",
"address_2": "SUITE 100",
"city": "PACIFIC",
"state": "MO",
"postal_code": "630691136",
"telephone_number": "636-271-9995",
"fax_number": "636-271-9151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "307 NOONAN DR",
"address_2": "SUITE 100",
"city": "PACIFIC",
"state": "MO",
"postal_code": "630691136",
"telephone_number": "636-271-9995",
"fax_number": "636-271-9151"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIEHOO",
"first_name": "PATRICIA",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-05",
"last_updated": "2010-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MO",
"license": "00648",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pacific, MO
- Melissa Georgevitch Chiropractic LLC
- Meramec Valley R3 School District
- Stephanie M Meyer, MD
- Missouri CVS Pharmacy LLC (CVS Pharmacy #10773)
- Stephanie L. Murphy, DC
- Kayla Marie O'Daniel, PHARMD
- Christopher Max Orris, D.C.
- Pacific Care Center LLC
- Pacific Chiropractic Center, LLC
- Pacific Dental Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.