NPIMap

Organization Active NPI

Midwest Physical Therapy, PC

Doing business as Mid America Physical Therapy

  • Physical Therapist
  • Unionville, MO
National Provider Identifier
1144389677
Registry record updated Nov 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
20000174328 Issued in MO
Legal business name
MIDWEST PHYSICAL THERAPY, PC
Doing business as
Mid America Physical Therapy
Mid-America Physical Therapy
Practice address
1926 Oak St
Unionville, MO 63565-1180
Phone
(877) 870-4976
Fax
(866) 581-7732
NPI assigned
Dec 8, 2006
Last updated
Nov 10, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2023

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

Authorized official

Name
Maury Duncan Allen, PT
Title
Owner
Phone
(877) 870-4976

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 20000174328 MO Primary

Addresses

Primary practice location

1926 Oak St
Unionville, MO 63565-1180

Mailing address

PO Box 30110
Columbia, MO 65205-3110
Phone (877) 870-4976

Other identifiers 1

IdentifierTypeStateIssuer
485883813MedicaidMO

Other names 2

  • Mid America Physical Therapy Doing business as
  • Mid-America Physical Therapy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140917001266 MO Part B Supplier - Physical/Occupational Therapy Group in Private Practice 9335190339 Receives reassigned benefits from 33 practitioners
Practice locations: Sedalia, MO; Versailles, MO; Unionville, MO; Queen City, MO; Gravois Mills, MO; Chillicothe, MO

National Provider Directory

National Provider Directory

Locations

55774 State Highway 6
Edina, MO 63537
Phone (660) 397-2282

610 Highway O
Lowr
Gravois Mills, MO 65037

1101 W Clay Rd
Lowr
Versailles, MO 65084

Ownership & related parties

All facility ownership & control disclosures 5

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Good Shepherd Community Care and RehabilitationLockwood, MO, CCN 265705 Skilled nursing facility Adp of the SNF Oct 1, 2019
Lawrence County ManorMount Vernon, MO, CCN 265752 Skilled nursing facility Adp of the SNF Oct 1, 2019
Morningside CenterChillicothe, MO, CCN 265813 Skilled nursing facility Adp of the SNF Apr 4, 2013
Macon Health Care CenterMacon, MO, CCN 265163 Skilled nursing facility Adp of the SNF Oct 1, 2019
The BluffsColumbia, MO, CCN 265498 Skilled nursing facility Adp of the SNF Oct 1, 2024

Owned or controlled facilities with NPI records 5

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 35

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.

View all 35

NPI Registry JSON

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699574400000",
    "number": "1144389677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30110",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652053110",
            "telephone_number": "877-870-4976",
            "fax_number": "866-581-7732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1926 OAK ST",
            "city": "UNIONVILLE",
            "state": "MO",
            "postal_code": "635651180",
            "telephone_number": "877-870-4976",
            "fax_number": "866-581-7732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST PHYSICAL THERAPY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2023-11-10",
        "certification_date": "2023-11-10",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "MAURY",
        "authorized_official_middle_name": "DUNCAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "877-870-4976",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "20000174328",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "485883813",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mid America Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mid-America Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mid-America Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Unionville, MO

Sources for this page

Verify at the official NPI Registry.