Individual provider Active NPI

Avril Prabakaran, RPT

  • Physical Therapist
  • Joplin, MO
National Provider Identifier
1295063394
Registry record updated Dec 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070017017 Issued in IL
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

Updated by the provider on Dec 1, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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, LLC 152 clinicians
Empowerme Rehabilitation Illinois LLC 361 clinicians
At Home by Enhance Therapies LLC 44 clinicians

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 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070017017ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Empowerme Wellness Kansas City, LLC Physical Therapist CurrentSince Jan 1, 2022 Accepting new patients
Empowerme Rehabilitation Illinois, LLC Physical Therapist CurrentSince Jul 19, 2021 Accepting new patients
Empowerme Wellness Kansas City, LLC CurrentSince Jan 1, 2022 Accepting new patients
At Home by Enhance Therapies LLC Physical Therapist CurrentSince May 1, 2025 Accepting new patients
Empowerme Rehabilitation Illinois, LLC Physical Therapist CurrentSince Jul 19, 2021 Accepting new patients
Savoy Therapy Services Inc Physical Therapist CurrentSince Jan 10, 2026 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.

View all 18

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.

Verify at the official NPI Registry.