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
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Laurie A. Rose, MSED, PT
- Title
- Owner, President
- Phone
- (816) 517-6648
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | R1367 | MO | Primary |
Addresses
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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 28243 | Other | MO | BCBS PROVIDER NUMBER |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Physical Therapist
- Centerview, MO
- NPI 1306880299
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"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": "",
"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.