Organization Active NPI

BT Acquisitions, LLC

Doing business as Excel Physical Therapy

  • Physical Therapist
  • Aurora, MO
National Provider Identifier
1073155198
Registry record updated Oct 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
BT ACQUISITIONS, LLC
Doing business as
Excel Physical Therapy
Practice address
1505 S Elliott Ave Ste E
Aurora, MO 65605-2155
Phone
(417) 459-7683
NPI assigned
Oct 9, 2019
Last updated
Oct 9, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2019

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

Authorized official

Name
Bryce Huddleston, DPTNPI 1669852240
Title
Owner/Physical Therapist
Phone
(417) 459-7683

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

1505 S Elliott Ave Ste E
Aurora, MO 65605-2155

Mailing address

204 E Willow St
Clever, MO 65631-7100
Phone (417) 459-7683

Other names 1

  • Excel Physical Therapy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191230001604 MO Part B Supplier - Physical/Occupational Therapy Group in Private Practice 9537593561 Receives reassigned benefits from 1 practitioner
Practice locations: Marshfield, MO; Aurora, MO

National Provider Directory

National Provider Directory

Locations

1505 S Elliott Ave
Ste E
Aurora, MO 65605
Phone (417) 308-0095

1350 Spur Dr
Ste 180
Marshfield, MO 65706
Phone (417) 859-3991

Practitioners & affiliated clinicians

Practitioners 2

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": "1570579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570579200000",
    "number": "1073155198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 E WILLOW ST",
            "city": "CLEVER",
            "state": "MO",
            "postal_code": "656317100",
            "telephone_number": "417-459-7683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 S ELLIOTT AVE STE E",
            "city": "AURORA",
            "state": "MO",
            "postal_code": "656052155",
            "telephone_number": "417-459-7683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BT ACQUISITIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-09",
        "last_updated": "2019-10-09",
        "status": "A",
        "authorized_official_last_name": "HUDDLESTON",
        "authorized_official_first_name": "BRYCE",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "417-459-7683",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Excel Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Aurora, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.