Active NPI
Avril Prabakaran, RPT
- Physical Therapist
- Joplin, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070017017
- Practice address
- 214 W. 5TH St.
GMM Pro-Care Providers, Inc.
Joplin, MO 64801-0000 - Phone
- (417) 782-2917
- Fax
- (417) 782-7038
- NPI assigned
- Dec 1, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 | 070017017 | IL | Primary |
Addresses
Primary practice location
214 W. 5TH St.
GMM Pro-Care Providers, Inc.
Joplin, MO 64801-0000
Mailing address
2001 Connecticut Ave
Apt. D3
Joplin, MO 64804-1108
Phone (417) 659-9656
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210729001682 | IL | Practitioner - Physical Therapist in Private Practice | 2961805817 | Reassigns benefits to 5 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Empowerme Wellness Kansas City, LLCEmpowerme Rehabilitation Illinois LLCAt Home by Enhance Therapies LLC
Practice addresses (Care Compare)
1021 W E St
Belleville, IL 62220-1055
Phone (618) 573-3402
7108 Marine Rd
Edwardsville, IL 62025-4282
Phone (618) 706-9759
801 Gregory St
Normal, IL 61761-4431
Phone (732) 994-3200
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070017017 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Empowerme Wellness Kansas City, LLC | Physical Therapist | Current | Accepting new patients |
| Empowerme Rehabilitation Illinois, LLC | Physical Therapist | Current | Accepting new patients |
| Empowerme Wellness Kansas City, LLC | Current | Accepting new patients | |
| At Home by Enhance Therapies LLC | Physical Therapist | Current | Accepting new patients |
| Empowerme Rehabilitation Illinois, LLC | Physical Therapist | Current | Accepting new patients |
| Savoy Therapy Services Inc | Physical Therapist | Current | Accepting new patients |
| Greater Missouri Medical Pro-Care Providers, Inc | Past | Accepting new patients |
Locations
1021 W E St
Belleville, IL 62220
Phone (618) 233-2095
7108 Marine Rd
Edwardsville, IL 62025
Phone (618) 706-9759
7358 N Lincoln Ave
Ste 160
Lincolnwood, IL 60712
Phone (847) 983-8750
1701 Evergreen Blvd
Normal, IL 61761
Phone (309) 451-9355
1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 673-6723
400 Route 70
Lakewood, NJ 08701
Phone (732) 802-7512
Organizations & group practices 18
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Lakewood, NJ
- NPI 1124603246
IL, Physical Therapist
-
- Occupational Therapist
- Edwardsville, IL
- NPI 1679098263
IL, Physical Therapist
-
- Multi-Specialty Clinic/Center
- Belleville, IL
- NPI 1174118103
IL, Physical Therapist
-
- Multi-Specialty Clinic/Center
- Kansas City, MO
- NPI 1083208391
-
- Rehabilitation Clinic/Center
- Kansas City, MO
- NPI 1770206807
-
- Multi-Specialty Clinic/Center
- Kokomo, IN
- NPI 1023618956
-
- Rehabilitation Clinic/Center
- Carbondale, IL
- NPI 1467198317
-
- Multi-Specialty Clinic/Center
- Mentor, OH
- NPI 1528652096
-
- Multi-Specialty Clinic/Center
- Holland, MI
- NPI 1548865876
-
- Rehabilitation Clinic/Center
- Bloomington, IL
- NPI 1942871710
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1259625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1259625600000",
"number": "1295063394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2001 CONNECTICUT AVE",
"address_2": "APT. D3",
"city": "JOPLIN",
"state": "MO",
"postal_code": "648041108",
"telephone_number": "417-659-9656",
"fax_number": "417-782-7038"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "214 W. 5TH ST.",
"address_2": "GMM PRO-CARE PROVIDERS, INC.",
"city": "JOPLIN",
"state": "MO",
"postal_code": "648010000",
"telephone_number": "417-782-2917",
"fax_number": "417-782-7038"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRABAKARAN",
"first_name": "AVRIL",
"name_prefix": "Ms.",
"credential": "RPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-12-01",
"last_updated": "2009-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070017017",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Joplin, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.