Austin Evan Kats, DPT
Individual provider Active NPI Orthopedic Physical Therapist · Willard, MO
NPI 1154024784 · NPPES record last updated Mar 23, 2023
Key facts
- NPI
- 1154024784
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthopedic Physical Therapist 2251X0800X
- License
- 2019030020 (MO)
- Practice address
- 304 E Jackson St Ste 2F
Willard, MO 65781-9333 - Phone
- (417) 221-4667
- NPI assigned
- Mar 23, 2023
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Willard Physical Therapy Center LLC
Practice addresses (Care Compare)
304 E Jackson St
Suite 2F
Willard, MO 65781-9333
Phone (417) 221-4667
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230419001083 | MO | Practitioner - Physical Therapist in Private Practice | 0941675219 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2019030020 | MO | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Willard Physical Therapy Center LLC | Orthopedic | Current |
Accepting new patients |
Locations
304 E Jackson St
Ste 2F
Willard, MO 65781
Phone (417) 221-4667
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 2019030020 | MO | Yes |
Addresses
Primary practice location
304 E Jackson St Ste 2F
Willard, MO 65781-9333
Mailing address
1323 W Broadmoor St
Springfield, MO 65807-2332
Phone (816) 863-9442
Other providers in Willard, MO
- Hive of the Ozarks
- Alissa Hopkins
- Jarvis Family Eye Center, LLC
- Devon Paul Jarvis
- James C Jordan
- Lauren Alexandra Kelley
- Jacquelyn Rose Kemnic
- Sarah Leigh King-Finley
- Lauren Koth
- Jennifer M Lankford
All providers in Willard, MO · Orthopedic Physical Therapist in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 23, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.