BDM Associates LLC
Organization Active NPI Physical Therapist · Fayette, MO
NPI 1255354643 · NPPES record last updated Jun 9, 2011
Key facts
- NPI
- 1255354643
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- Legal business name
- BDM ASSOCIATES LLC
- Practice address
- 100 E Davis St
Fayette, MO 65248-1405 - Phone
- (660) 248-3053
- Fax
- (660) 248-2682
- NPI assigned
- Jul 26, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- BDM ASSOCIATES LLC
Authorized official
- Name
- Brenda J Reeder
- Title
- Director of Billing
- Phone
- (573) 449-6082
Corporate family (same tax ID) 8
National Provider Directory
- Tax ID family
- BDM Associates LLC
- Part of
- BDM Associates LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | Yes | ||
| Athletic Trainer |
2255A2300X | |||
| Occupational Therapist |
225X00000X |
Addresses
Primary practice location
100 E Davis St
Fayette, MO 65248-1405
Mailing address
3301 Berrywood Dr
Suite 204
Columbia, MO 65201-6517
Phone (573) 449-8771
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 834765000 | Medicaid | MO |
Other names
- Peak Performance Physical Therapy & Sports Medicine
Other providers in Fayette, MO
- Felicia Ekwutosi Anunoby
- Lisa G Asbury
- Aspire Senior Living Fayette, LLC
- Tiffany Lynn Ballough
- Trevor Michael Barbour
- Jessica Michelle Beasley
- Ashley Diane Belstle
- Devin Adam Breckenridge
- Bristol Care, Inc.
- Robert Neal Buffaloe
All providers in Fayette, MO · Physical Therapist in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 9, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.