Organization Active NPI

Semo Physical Therapy

  • Physical Therapist
  • Jackson, MO
National Provider Identifier
1164344693
Registry record updated Jul 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
SEMO PHYSICAL THERAPY
Practice address
2064B Walton Dr
Jackson, MO 63755-3701
Phone
(573) 204-0429
NPI assigned
Jul 27, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2026

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

Authorized official

Name
Julie Ann Litzelfelner, MOT, OTR/L
Title
Owner/Ceo
Phone
(573) 225-9424

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

2064B Walton Dr
Jackson, MO 63755-3701

Mailing address

2064B Walton Dr
Jackson, MO 63755-3701

National Provider Directory

National Provider Directory

Locations

2064B Walton Dr
Jackson, MO 63755
Phone (573) 204-0429

NPI Registry JSON

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

{
    "created_epoch": "1785110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785110400000",
    "number": "1164344693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2064B WALTON DR",
            "city": "JACKSON",
            "state": "MO",
            "postal_code": "637553701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2064B WALTON DR",
            "city": "JACKSON",
            "state": "MO",
            "postal_code": "637553701",
            "telephone_number": "573-204-0429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEMO PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-27",
        "last_updated": "2026-07-27",
        "certification_date": "2026-07-27",
        "status": "A",
        "authorized_official_last_name": "LITZELFELNER",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "573-225-9424",
        "authorized_official_credential": "MOT, OTR/L"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2026; 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.