Active NPI
Full Range Mobile PT, LLC
- Physical Therapist
- Lake Winnebago, MO
National Provider Identifier
1275274896
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- FULL RANGE MOBILE PT, LLC
- Practice address
- 608 N Winnebago Dr
Lake Winnebago, MO 64034-9419 - Phone
- (913) 526-4434
- NPI assigned
- Apr 6, 2022
- Last updated
- Apr 6, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Megan Bechtold, DPT
- Title
- Owner, Physical Therapist
- Phone
- (913) 526-4434
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
608 N Winnebago Dr
Lake Winnebago, MO 64034-9419
Mailing address
608 N Winnebago Dr
Lake Winnebago, MO 64034-9419
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS, MO
Enrollment records 2
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Physical Therapist
- Topeka, KS
- NPI 1275061962
-
- Physical Therapist
- Olathe, KS
- NPI 1013533702
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649203200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1649203200000",
"number": "1275274896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "608 N WINNEBAGO DR",
"city": "LAKE WINNEBAGO",
"state": "MO",
"postal_code": "640349419"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "608 N WINNEBAGO DR",
"city": "LAKE WINNEBAGO",
"state": "MO",
"postal_code": "640349419",
"telephone_number": "913-526-4434"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FULL RANGE MOBILE PT, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-04-06",
"last_updated": "2022-04-06",
"certification_date": "2022-04-06",
"status": "A",
"authorized_official_last_name": "BECHTOLD",
"authorized_official_first_name": "MEGAN",
"authorized_official_title_or_position": "OWNER, PHYSICAL THERAPIST",
"authorized_official_telephone_number": "913-526-4434",
"authorized_official_credential": "DPT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Winnebago, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2022; 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.