Individual provider Active NPI

Ashley M Nimmo, DPT

  • Physical Therapist
  • Rogersville, MO
National Provider Identifier
1073296646
Registry record updated Sep 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2023039751 Issued in MO
Practice address
113 Johnstown Dr
Rogersville, MO 65742-9366
Phone
(417) 753-7735
Fax
(417) 753-7765
NPI assigned
Aug 10, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2023039751 MO Primary

Addresses

Primary practice location

113 Johnstown Dr
Rogersville, MO 65742-9366

Mailing address

PO Box 219297
Kansas City, MO 64121-9297
Phone (417) 753-7735

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231005002140 MO Practitioner - Physical Therapist in Private Practice 4688029960 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arc Physical Therapy Plus LP 59 clinicians

Practice addresses (Care Compare)

113 Johnstown Dr
Rogersville, MO 65742-9366
Phone (417) 753-7735

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Arc Physical Therapy Plus LP Physical Therapist CurrentSince Sep 27, 2023 Accepting new patients
Arc Physical Therapy Plus LP CurrentSince Sep 27, 2023 Accepting new patients

Locations

6362 College Blvd
Overland Park, KS 66211
Phone (913) 663-2555

744 W Stadium Blvd
Ste E
Jefferson City, MO 65109
Phone (573) 418-3990

144 Evergreen Pkwy
Lebanon, MO 65536
Phone (417) 657-8000

527 N State Route 291
Ste A
Liberty, MO 64068
Phone (816) 792-0849

113 Johnstown Dr
Rogersville, MO 65742
Phone (417) 753-7735

1711 W Battlefield St
Ste Q
Springfield, MO 65807
Phone (417) 799-3377

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1691625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695859200000",
    "number": "1073296646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 219297",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641219297",
            "telephone_number": "417-753-7735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 JOHNSTOWN DR",
            "city": "ROGERSVILLE",
            "state": "MO",
            "postal_code": "657429366",
            "telephone_number": "417-753-7735",
            "fax_number": "417-753-7765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIMMO",
        "first_name": "ASHLEY",
        "middle_name": "M",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-10",
        "last_updated": "2023-09-28",
        "certification_date": "2023-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2023039751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rogersville, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.