Organization Active NPI

Home Rehabilitation and Consultant Services, PC

  • Physical Therapist
  • Centerview, MO
National Provider Identifier
1164545364
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
R1367 Issued in MO
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 Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X R1367 MO Primary

Addresses

NPPES NPI Registry

Primary 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
IdentifierTypeStateIssuer
28243OtherMOBCBS 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.

Verify at the official NPI Registry.