Active NPI
Aric Wasson
- Physical Therapy Assistant
- Warrensburg, MO
National Provider Identifier
1083595599
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 2011030409
- Practice address
- 403 Burkarth Rd
Warrensburg, MO 64093-3101 - Phone
- (660) 262-7536
- NPI assigned
- Sep 10, 2025
- Last updated
- Sep 10, 2025
- Sex
- Male
- 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 Therapy Assistant | 225200000X | 2011030409 | MO | Primary |
Addresses
Primary practice location
403 Burkarth Rd
Warrensburg, MO 64093-3101
Mailing address
1406 Northfield Park Blvd
Warrensburg, MO 64093-9773
Phone (660) 619-2742
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 |
|---|---|---|---|
| 2011030409 | MO | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1757462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757462400000",
"number": "1083595599",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1406 NORTHFIELD PARK BLVD",
"city": "WARRENSBURG",
"state": "MO",
"postal_code": "640939773",
"telephone_number": "660-619-2742"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "403 BURKARTH RD",
"city": "WARRENSBURG",
"state": "MO",
"postal_code": "640933101",
"telephone_number": "660-262-7536"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WASSON",
"first_name": "ARIC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-09-10",
"last_updated": "2025-09-10",
"certification_date": "2025-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "MO",
"license": "2011030409",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Warrensburg, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.