Organization Active NPI

Ozark Therapy Institute, LLC

  • Speech-Language Pathologist
  • Springfield, MO
National Provider Identifier
1184850075
Registry record updated Jun 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2004008771 Issued in MO
Legal business name
OZARK THERAPY INSTITUTE, LLC
Practice address
4560 S Campbell Ave
Suite N
Springfield, MO 65810-1720
Phone
(417) 881-9500
Fax
(417) 881-9502
NPI assigned
Jun 5, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Daniel D. McCool
Title
Ceo
Phone
(417) 881-9500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X 2004008771 MO Primary

Addresses

Primary practice location

4560 S Campbell Ave
Suite N
Springfield, MO 65810-1720

Mailing address

4560 S Campbell Ave
Suite N
Springfield, MO 65810-1720
Phone (417) 881-9500

National Provider Directory

National Provider Directory

Locations

4560 S Campbell Ave
Ste N
Springfield, MO 65810
Phone (417) 576-8695

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1244160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244160000000",
    "number": "1184850075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4560 S CAMPBELL AVE",
            "address_2": "SUITE N",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658101720",
            "telephone_number": "417-881-9500",
            "fax_number": "417-881-9502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4560 S CAMPBELL AVE",
            "address_2": "SUITE N",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658101720",
            "telephone_number": "417-881-9500",
            "fax_number": "417-881-9502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OZARK THERAPY INSTITUTE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-05",
        "last_updated": "2009-06-05",
        "status": "A",
        "authorized_official_last_name": "MCCOOL",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "417-881-9500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "2004008771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2009; 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.