Active NPI
Karen Joy Abando Cordova
- Physical Therapist
- Lewistown, MO
National Provider Identifier
1164694576
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2006002905
- Practice address
- 18540 State Highway 16
Lewistown, MO 63452-2111 - Phone
- (573) 215-2216
- NPI assigned
- Mar 25, 2008
- Last updated
- Mar 25, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2006002905 | MO | Primary |
Addresses
Primary practice location
18540 State Highway 16
Lewistown, MO 63452-2111
Mailing address
214 W 5TH St Ste D&E
Joplin, MO 64801-2501
Phone (417) 782-2917
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2006002905 | MO | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1206403200000",
"number": "1164694576",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "214 W 5TH ST STE D&E",
"city": "JOPLIN",
"state": "MO",
"postal_code": "648012501",
"telephone_number": "417-782-2917",
"fax_number": "417-782-7038"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18540 STATE HIGHWAY 16",
"city": "LEWISTOWN",
"state": "MO",
"postal_code": "634522111",
"telephone_number": "573-215-2216"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORDOVA",
"first_name": "KAREN JOY",
"middle_name": "ABANDO",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-03-25",
"last_updated": "2008-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MO",
"license": "2006002905",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lewistown, MO
- Anita Lyn Arnold, FNP-C
- Penny Elizabeth Buening, APRN
- Country Aire Healthcare LLC (Country Aire Retirement Center)
- Country Aire Opco, LLC (Country Aire Retirement Center)
- Country Aire Operations Management LLC
- Deaconess Long Term Care of Missouri, Inc. (Country Aire Retirement Estates)
- Michelle Ebeling, M.A., CCC-SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.