Rosemary Jane Thoenen
Individual provider Active NPI Physical Therapy Assistant · Bonnots Mill, MO
NPI 1306580964 · NPPES record last updated Apr 20, 2022
Key facts
- NPI
- 1306580964
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 2001011182 (MO)
- Practice address
- 555 Highway a Apt a
Bonnots Mill, MO 65016-2505 - Phone
- (573) 690-4721
- NPI assigned
- Apr 20, 2022
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2001011182 | MO | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 2001011182 | MO | Yes |
Addresses
Primary practice location
555 Highway a Apt a
Bonnots Mill, MO 65016-2505
Mailing address
555 Highway a Apt a
Bonnots Mill, MO 65016-2505
Phone (573) 690-4721
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Pta | Other |
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 20, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.