NPIMap

Organization Active NPI

Ozarks Physical Therapy Associates Inc.

Doing business as Marshfield Rehab & Southwest Rehab

  • Rehabilitation Clinic/Center
  • Springfield, MO
National Provider Identifier
1104906338
Registry record updated Aug 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
OZARKS PHYSICAL THERAPY ASSOCIATES INC.
Doing business as
Marshfield Rehab & Southwest Rehab
Practice address
1911 S National Ave
Suite 302
Springfield, MO 65804-2213
Phone
(417) 881-4164
Fax
(417) 881-1727
NPI assigned
Oct 16, 2006
Last updated
Aug 15, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2012

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

Authorized official

Name
Michael B Boyd
Title
President
Phone
(417) 881-4164

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X Primary
Specialist 174400000X RO114 MO

Addresses

Primary practice location

1911 S National Ave
Suite 302
Springfield, MO 65804-2213

Mailing address

1911 S National Ave
Suite 302
Springfield, MO 65804-2213
Phone (417) 881-4164

Other names 1

  • Marshfield Rehab & Southwest Rehab Doing business as

National Provider Directory

National Provider Directory

Locations

106 N Crittenden St
Marshfield, MO 65706
Phone (417) 859-3991

1911 S National Ave
Ste 302
Springfield, MO 65804
Phone (417) 881-4164

Practitioners & affiliated clinicians

Practitioners 12

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": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344988800000",
    "number": "1104906338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1911 S NATIONAL AVE",
            "address_2": "SUITE 302",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658042213",
            "telephone_number": "417-881-4164",
            "fax_number": "417-881-1727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1911 S NATIONAL AVE",
            "address_2": "SUITE 302",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658042213",
            "telephone_number": "417-881-4164",
            "fax_number": "417-881-1727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OZARKS PHYSICAL THERAPY ASSOCIATES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2012-08-15",
        "status": "A",
        "authorized_official_last_name": "BOYD",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "417-881-4164"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MO",
            "license": "RO114",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marshfield Rehab & Southwest Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Springfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2012; 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.