Active NPI
Home Rehabilitation and Consultant Services, PC
- Physical Therapist
- Centerview, MO
National Provider Identifier
1164545364
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- R1367
- Legal business name
- HOME REHABILITATION AND CONSULTANT SERVICES, PC
- Practice address
- 902 NW 750TH Rd
Centerview, MO 64019-9128 - Phone
- (816) 230-1590
- NPI assigned
- Apr 10, 2007
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Laurie A. Rose, MSED, PT
- Title
- Owner, President
- Phone
- (816) 517-6648
National Provider Directory
National Provider DirectorySpecialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | R1367 | MO | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
902 NW 750TH Rd
Centerview, MO 64019-9128
Mailing address
902 NW 750TH Rd
Centerview, MO 64019-9128
Phone (816) 230-1590
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 28243 | Other | MO | BCBS PROVIDER NUMBER |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2020.
{
"created_epoch": "1176163200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1164545364",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "902 NW 750TH RD",
"city": "CENTERVIEW",
"state": "MO",
"postal_code": "640199128",
"telephone_number": "816-230-1590"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "902 NW 750TH RD",
"city": "CENTERVIEW",
"state": "MO",
"postal_code": "640199128",
"telephone_number": "816-230-1590"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOME REHABILITATION AND CONSULTANT SERVICES, PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-10",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "ROSE",
"authorized_official_first_name": "LAURIE",
"authorized_official_middle_name": "A.",
"authorized_official_title_or_position": "OWNER, PRESIDENT",
"authorized_official_telephone_number": "816-517-6648",
"authorized_official_credential": "MSED, PT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "MO",
"license": "R1367",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER NUMBER",
"identifier": "28243",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Centerview, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.