Physical Therapy of Warrensburg

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

004834 Issued in MO

Legal business name

PHYSICAL THERAPY OF WARRENSBURG

Practice address

540 E Young Ave
Suite E
Warrensburg, MO 64093-1231

Phone

(660) 747-0247

Fax

(660) 747-0347

NPI assigned

Jun 30, 2009

Last updated

Jun 30, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

David F Brummel, PTNPI 1518911189

Title

President

Phone

(660) 747-0247

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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.

• David F Brummel, M ED PT

  • Physical Therapist
  • Warrensburg, MO
  • NPI 1518911189
  Authorized official Same address or phone

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

{
    "created_epoch": "1246320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246320000000",
    "number": "1285862193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 E YOUNG AVE",
            "address_2": "SUITE E",
            "city": "WARRENSBURG",
            "state": "MO",
            "postal_code": "640931231",
            "telephone_number": "660-747-0247",
            "fax_number": "660-747-0347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 E YOUNG AVE",
            "address_2": "SUITE E",
            "city": "WARRENSBURG",
            "state": "MO",
            "postal_code": "640931231",
            "telephone_number": "660-747-0247",
            "fax_number": "660-747-0347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL THERAPY OF WARRENSBURG",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-30",
        "last_updated": "2009-06-30",
        "status": "A",
        "authorized_official_last_name": "BRUMMEL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "660-747-0247",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "MO",
            "license": "004834",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF KC",
            "identifier": "34248013",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paul Brinckman, OD, LLC.
• Jill Green Pedersen, ATC
• Ty Paul Perkins, D.O.
• Pertle Springs Emergency Physicians LLC
• Angela Michelle Phelps, MD
• Physical Therapy of Warrensburg
• Physicians Reference Laboratory LLC
• Suzanne Elizabeth Pierce, FNP-BC
• David Martin Plattner, DC
• Play to Communicate

• Customized Equipment (DME) in Warrensburg, MO
• Providers in Warrensburg, MO by specialty
• Customized Equipment (DME) in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.