Branden Speckhals

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2012038625 Issued in MO

Practice address

2347 Highway 100
Hermann, MO 65041-4226

Phone

(573) 690-8862

NPI assigned

Jan 25, 2013

Last updated

Jan 25, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1359072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359072000000",
    "number": "1124366158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2347 HIGHWAY 100",
            "city": "HERMANN",
            "state": "MO",
            "postal_code": "650414226",
            "telephone_number": "573-690-8862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2347 HIGHWAY 100",
            "city": "HERMANN",
            "state": "MO",
            "postal_code": "650414226",
            "telephone_number": "573-690-8862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPECKHALS",
        "first_name": "BRANDEN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-01-25",
        "last_updated": "2013-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MO",
            "license": "2012038625",
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2094108",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rehab Outreach, L.L.C. (Renaissance Therapy of Hermann)
• Kathryn Ruhmann, RD, LD
• Amy Marie Sanders, DPT
• Joesph Thomas Schebaum, PHARMD
• Angela Dawn Sherrow, P.T.
• Charles Dennis Steele, CRNA
• William C. Stief, MD
• Kerry Struttmann, FNP
• Donald C Swayze, DO
• Jeremy Shaun Talley, D.O.

• Physical Therapy Assistant in Hermann, MO
• Providers in Hermann, MO by specialty
• Physical Therapy Assistant in Missouri

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