NPIMap

Organization Active NPI

Sunlakes Physical Therapy

  • Skilled Nursing Facility
  • Mount Vernon, MO
National Provider Identifier
1306115886
Registry record updated Dec 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
SUNLAKES PHYSICAL THERAPY
Practice address
1600 S Hickory St
Mount Vernon, MO 65712-2045
Phone
(417) 466-7103
NPI assigned
Dec 29, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2011

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

Authorized official

Name
Robert Chapman
Title
Company Owner
Phone
(800) 385-3978

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

1600 S Hickory St
Mount Vernon, MO 65712-2045

Mailing address

PO Box 383
Warsaw, MO 65355-0383

National Provider Directory

National Provider Directory
Tax ID family
Sun Lakes Physical Therapy3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1325116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325116800000",
    "number": "1306115886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 383",
            "city": "WARSAW",
            "state": "MO",
            "postal_code": "653550383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 S HICKORY ST",
            "city": "MOUNT VERNON",
            "state": "MO",
            "postal_code": "657122045",
            "telephone_number": "417-466-7103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNLAKES PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-29",
        "last_updated": "2011-12-29",
        "status": "A",
        "authorized_official_last_name": "CHAPMAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "COMPANY OWNER",
        "authorized_official_telephone_number": "800-385-3978"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2011; 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.