Individual provider Active NPI

John Ross Ray, PT

  • Physical Therapist
  • Ozark, MO
National Provider Identifier
1154597524
Registry record updated May 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2000150904 Issued in MO
Practice address
1114 W Jackson St
Ozark, MO 65721-9164
Phone
(417) 581-1234
Fax
(888) 550-3518
NPI assigned
May 5, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 11, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Physical Therapist 2251G0304X 2000150904 MO
Physical Therapist 225100000X 2000150904 MO Primary

Addresses

Primary practice location

1114 W Jackson St
Ozark, MO 65721-9164

Mailing address

1114 W Jackson St
Ozark, MO 65721-9164
Phone (417) 581-1234

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
2000150904MOMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Haven Physical Therapy Past Accepting new patients
Haven Home Health LLC PastSince Sep 29, 2011 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1209945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431302400000",
    "number": "1154597524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1114 W JACKSON ST",
            "city": "OZARK",
            "state": "MO",
            "postal_code": "657219164",
            "telephone_number": "417-581-1234",
            "fax_number": "888-550-3518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1114 W JACKSON ST",
            "city": "OZARK",
            "state": "MO",
            "postal_code": "657219164",
            "telephone_number": "417-581-1234",
            "fax_number": "888-550-3518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAY",
        "first_name": "JOHN",
        "middle_name": "ROSS",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-05",
        "last_updated": "2015-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "MO",
            "license": "2000150904",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2000150904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ozark, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2015; 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.