Active NPI
Pamela Easley
- Physical Therapist
- Excelsior Springs, MO
National Provider Identifier
1245356146
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 1006 N Jesse James Rd
Excelsior Springs, MO 64024-1202 - Phone
- (816) 630-7300
- NPI assigned
- Mar 22, 2007
- Sex
- Female
- Sole proprietor
- No
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 | Primary |
Addresses
Primary practice location
1006 N Jesse James Rd
Excelsior Springs, MO 64024-1202
Mailing address
8876 Albany Rd
Orrick, MO 64077-8166
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2172 | Other | MO | LICENSE# |
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": "1174521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1245356146",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8876 ALBANY RD",
"city": "ORRICK",
"state": "MO",
"postal_code": "640778166"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1006 N JESSE JAMES RD",
"city": "EXCELSIOR SPRINGS",
"state": "MO",
"postal_code": "640241202",
"telephone_number": "816-630-7300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EASLEY",
"first_name": "PAMELA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE#",
"identifier": "2172",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Excelsior Springs, 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.