Active NPI
Stephan Louis Schowengerdt, RPT
- Physical Therapist
- Odessa, MO
National Provider Identifier
1184763732
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 01766
- Practice address
- 609 Golf St
Box 37
Odessa, MO 64076-1462 - Phone
- (816) 230-3363
- Fax
- (816) 230-7206
- NPI assigned
- Feb 6, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- 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 | 01766 | MO | Primary |
Addresses
Primary practice location
609 Golf St
Box 37
Odessa, MO 64076-1462
Mailing address
609 Golf St
Box 37
Odessa, MO 64076-1462
Phone (816) 230-3363
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1184763732",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "609 GOLF ST",
"address_2": "BOX 37",
"city": "ODESSA",
"state": "MO",
"postal_code": "640761462",
"telephone_number": "816-230-3363",
"fax_number": "816-230-7206"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "609 GOLF ST",
"address_2": "BOX 37",
"city": "ODESSA",
"state": "MO",
"postal_code": "640761462",
"telephone_number": "816-230-3363",
"fax_number": "816-230-7206"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHOWENGERDT",
"first_name": "STEPHAN",
"middle_name": "LOUIS",
"credential": "RPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MO",
"license": "01766",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Odessa, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.