Debra Lynn Hershberger, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

00943 Issued in MO

Practice address

740 S Washington St
Chillicothe, MO 64601-3042

Phone

(660) 646-0022

Fax

(660) 646-1553

NPI assigned

Jun 18, 2006

Last updated

Mar 25, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Brookfield Physical Therapy,Inc.

  • Physical Therapist
  • Brookfield, MO
  • NPI 1396843819
  NPD (past)
• Covenant Rehab Clinic, LLC

  • Physical Therapist
  • Chillicothe, MO
  • NPI 1942243209
  NPD (past)
• Malloy Holdings, LLC

  dba Brookfield Phyiscal Therapy

  • Physical Therapy Clinic/Center
  • Brookfield, MO
  • NPI 1659783942
  NPD (past)

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364169600000",
    "number": "1073558540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2117 OAKLAWN DR",
            "city": "CHILLICOTHE",
            "state": "MO",
            "postal_code": "646013552",
            "telephone_number": "660-646-1127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 S WASHINGTON ST",
            "city": "CHILLICOTHE",
            "state": "MO",
            "postal_code": "646013042",
            "telephone_number": "660-646-0022",
            "fax_number": "660-646-1553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERSHBERGER",
        "first_name": "DEBRA",
        "middle_name": "LYNN",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-18",
        "last_updated": "2013-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "00943",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "P00157305",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "483481438",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "34256014",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7332708",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hannibal Regional Healthcare System, Inc. (Complete Family Medicine)
• Hartegan,Inc (longblum retirement center)
• Abha Kumari Havaldar, MD
• Clayton John Hayley, DO
• Marilyn Joan Heckelbeck, H.I.S.
• Maelaina Rose Hibner, PTA
• David Christopher Hoel, OD
• Hulett Family Practice, LLC
• Corinne Hundley, PTA
• Denise R Hunt, LPC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2013; 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.