Individual provider Active NPI

Mary H Schrag, PT, OCS

  • Physical Therapist
  • West Plains, MO
National Provider Identifier
1194761650
Registry record updated Dec 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
01442 Issued in MO
Practice address
1480 W 8TH St
West Plains, MO 65775-2010
Phone
(417) 256-5669
Fax
(417) 256-5699
NPI assigned
Jun 22, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 656 AR
Physical Therapist 225100000X 01442 MO Primary

Addresses

Primary practice location

1480 W 8TH St
West Plains, MO 65775-2010

Mailing address

1480 8TH St
West Plains, MO 65775-2010
Phone (417) 256-5669

Other identifiers 4

IdentifierTypeStateIssuer
973358OtherUNITED HEALTH CARE
336556OtherHEALTHLINK
483369310MedicaidMO
48369302MedicaidMO

Other names 1

  • Mrs. Mary H Sheid Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041014000904 MO Practitioner - Physical Therapist in Private Practice 5597725457 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physical Therapy Specialist Clinic, Inc.Group PAC ID 7719947670, 5 clinicians

Practice addresses (Care Compare)

1480 8TH St
West Plains, MO 65775-2010
Phone (417) 256-5669

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
01442MOMDClinical Psychologist
656ARMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Therapy Specialist Clinic, Inc. Physical Therapist CurrentSince Feb 17, 1991 Accepting new patients

Locations

1206 N Main St
Mountain Grv, MO 65711
Phone (417) 926-5699

1480 8th St
West Plains, MO 65775
Phone (417) 256-5669

Interoperability endpoints

  • Direct secure messaging: marysheid@ptsci.allscriptsdirect.net

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576022400000",
    "number": "1194761650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1480 8TH ST",
            "city": "WEST PLAINS",
            "state": "MO",
            "postal_code": "657752010",
            "telephone_number": "417-256-5669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1480 W 8TH ST",
            "city": "WEST PLAINS",
            "state": "MO",
            "postal_code": "657752010",
            "telephone_number": "417-256-5669",
            "fax_number": "417-256-5699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHRAG",
        "first_name": "MARY",
        "middle_name": "H",
        "name_prefix": "Mrs.",
        "credential": "PT, OCS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-22",
        "last_updated": "2019-12-11",
        "certification_date": "2019-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "656",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "01442",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "973358",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "336556",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "483369310",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "48369302",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "SHEID",
            "middle_name": "H",
            "prefix": "MRS.",
            "credential": "PT, OCS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in West Plains, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.