Ozark Wellness & Athletic Club

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

OZARK WELLNESS & ATHLETIC CLUB

Practice address

1521 W Bus. Hwy. 60
Dexter, MO 63841

Phone

(573) 614-5644

Fax

(573) 624-9223

NPI assigned

Oct 12, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Austin Tinsley IV

Title

Owner

Phone

(573) 614-5644

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Tracy Hedrick

  • Physical Therapist
  • Dexter, MO
  • NPI 1780758144
  NPD (past)

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

{
    "created_epoch": "1255305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255305600000",
    "number": "1215262183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1521 W BUS. HWY. 60",
            "city": "DEXTER",
            "state": "MO",
            "postal_code": "63841",
            "telephone_number": "573-614-5644",
            "fax_number": "573-624-9223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1521 W BUS. HWY. 60",
            "city": "DEXTER",
            "state": "MO",
            "postal_code": "63841",
            "telephone_number": "573-614-5644",
            "fax_number": "573-624-9223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OZARK WELLNESS & ATHLETIC CLUB",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-12",
        "last_updated": "2009-10-12",
        "status": "A",
        "authorized_official_last_name": "TINSLEY",
        "authorized_official_first_name": "AUSTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "573-614-5644",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "IV"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• N & R of Dexter, Inc.
• New Dawn Care LLC
• No Place Like Home in Home Services, LLC
• No Place Like Home in- Home Services, LLC
• Overturf Drug Stores of Dexter, Inc.
• Julie Palmer, MS,CCC/SLP-L
• Paradigm Rehab Services, LLC
• Paradigm Senior Management LLC
• Judy Pedigo, FNP
• Paul James Perry, RPH

• Physical Therapist in Dexter, MO
• Providers in Dexter, MO by specialty
• Physical Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 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.