Organization Active NPI

Mid-America Therapy Services, LLC

  • Local Education Agency (LEA)
  • Town and Country, MO
National Provider Identifier
1053551911
Registry record updated Mar 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
License
2007003917 Issued in MO
Legal business name
MID-AMERICA THERAPY SERVICES, LLC
Practice address
14360 South Outer Forty
Town and Country, MO 63017
Phone
(314) 434-5410
Fax
(314) 431-5640
NPI assigned
Mar 4, 2009
Last updated
Mar 4, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2009

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

Authorized official

Name
Marla Shyken
Title
Occupational Therapist Manager
Phone
(314) 434-5410

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X 2007003917 MO Primary

Addresses

Primary practice location

14360 South Outer Forty
Town and Country, MO 63017

Mailing address

14360 S Outer 40
Town and Country, MO 63017-5710
Phone (314) 434-5640

National Provider Directory

National Provider Directory
Tax ID family
Mid-America Therapy Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

14360 South Outer 40 Rd
Town and Country, MO 63017
Phone (314) 434-5410

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1236124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236124800000",
    "number": "1053551911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14360 S OUTER 40",
            "city": "TOWN AND COUNTRY",
            "state": "MO",
            "postal_code": "630175710",
            "telephone_number": "314-434-5640",
            "fax_number": "314-431-5640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14360 SOUTH OUTER FORTY",
            "city": "TOWN AND COUNTRY",
            "state": "MO",
            "postal_code": "63017",
            "telephone_number": "314-434-5410",
            "fax_number": "314-431-5640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-AMERICA THERAPY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-04",
        "last_updated": "2009-03-04",
        "status": "A",
        "authorized_official_last_name": "SHYKEN",
        "authorized_official_first_name": "MARLA",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST MANAGER",
        "authorized_official_telephone_number": "314-434-5410"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "MO",
            "license": "2007003917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Town and Country, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2009; 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.