Organization Active NPI

Salisbury Physical Therapy

  • Physical Therapy Clinic/Center
  • Salisbury, MO
National Provider Identifier
1205008448
Registry record updated Mar 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
110273 Issued in MO
Legal business name
SALISBURY PHYSICAL THERAPY
Practice address
201 E Front St
Salisbury, MO 65281-1041
Phone
(660) 388-5918
Fax
(660) 388-5959
NPI assigned
Mar 27, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2008

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

Authorized official

Name
Mrs. Sheila Rae Wooldridge, P.T.NPI 1013042464
Title
Director/Owner
Phone
(660) 388-5918

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 110273 MO Primary

Addresses

Primary practice location

201 E Front St
Salisbury, MO 65281-1041

Mailing address

201 E Front St
Salisbury, MO 65281-1041
Phone (660) 388-5918

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170717002210 MO Part B Supplier - Physical/Occupational Therapy Group in Private Practice 3678644002 Receives reassigned benefits from 1 practitioner
Practice locations: Salisbury, MO

National Provider Directory

National Provider Directory

Locations

100 W Highway 24
Ste A
Salisbury, MO 65281
Phone (660) 388-5918

201 E Front St
Salisbury, MO 65281
Phone (660) 388-5918

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": "1206576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206576000000",
    "number": "1205008448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 E FRONT ST",
            "city": "SALISBURY",
            "state": "MO",
            "postal_code": "652811041",
            "telephone_number": "660-388-5918",
            "fax_number": "660-388-5959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E FRONT ST",
            "city": "SALISBURY",
            "state": "MO",
            "postal_code": "652811041",
            "telephone_number": "660-388-5918",
            "fax_number": "660-388-5959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALISBURY PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-27",
        "last_updated": "2008-03-27",
        "status": "A",
        "authorized_official_last_name": "WOOLDRIDGE",
        "authorized_official_first_name": "SHEILA",
        "authorized_official_middle_name": "RAE",
        "authorized_official_title_or_position": "DIRECTOR/OWNER",
        "authorized_official_telephone_number": "660-388-5918",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MO",
            "license": "110273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.