Individual provider Active NPI

Christopher Ray Wheatley, MPT

  • Physical Therapist
  • Poplar Bluff, MO
National Provider Identifier
1326226747
Registry record updated Feb 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2008000534 Issued in MO
Practice address
2835 N Westwood
Poplar Bluff, MO 63901
Phone
(573) 778-9348
Fax
(573) 686-0178
NPI assigned
Feb 7, 2008
Last updated
Feb 7, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2008

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 2008000534 MO Primary

Addresses

Primary practice location

2835 N Westwood
Poplar Bluff, MO 63901

Mailing address

PO Box 1027
Poplar Bluff, MO 63902-1027
Phone (573) 778-9348

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080222000335 MO Practitioner - Physical Therapist in Private Practice 5799869244 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tinsley Home Medical Services LLCGroup PAC ID 6608275334, 7 clinicians

Practice addresses (Care Compare)

2705 N Westwood Blvd
Poplar Bluff, MO 63901-2346
Phone (573) 778-9348

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2008000534MOMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Tinsley Home Medical Services, LLC CurrentSince May 11, 2024 Accepting new patients
Ozark Physical Medicine Center for Operations Ozark Plaza and Medical Physical Therapist CurrentSince Mar 1, 2019 Accepting new patients
Ozark Physical Medicine Center for Operations Ozark Plaza and Medical CurrentSince Mar 1, 2019 Accepting new patients
Midwest Therapy Services Physical Therapist PastSince Oct 1, 2010 Accepting new patients
Cardio Pulmonary Rehab Past Accepting new patients
Ozark Physical Therapy, LLP Past Accepting new patients

Locations

2705 N Westwood Blvd
Poplar Bluff, MO 63901
Phone (573) 686-5510

2725 N Westwood Blvd
Poplar Bluff, MO 63901
Phone (573) 686-5510

2725 N Westwood Blvd
Ste 16
Poplar Bluff, MO 63901
Phone (573) 429-3316

2725 N Westwood Blvd
Ste 17
Poplar Bluff, MO 63901
Phone (573) 686-5510

2725 N Westwood Blvd
Ste 5
Poplar Bluff, MO 63901
Phone (573) 872-4671

2725 N Westwood Blvd
Ste 5B
Poplar Bluff, MO 63901
Phone (573) 778-0500

3019 Fair St
Poplar Bluff, MO 63901
Phone (573) 714-2981

Interoperability endpoints

  • Direct secure messaging: ozarkrehabandtherapy.christopherwheatley@148023.advancedmd-direct.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1202342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202342400000",
    "number": "1326226747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1027",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639021027",
            "telephone_number": "573-778-9348",
            "fax_number": "573-686-0178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2835 N WESTWOOD",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "63901",
            "telephone_number": "573-778-9348",
            "fax_number": "573-686-0178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHEATLEY",
        "first_name": "CHRISTOPHER",
        "middle_name": "RAY",
        "name_prefix": "Prof.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-07",
        "last_updated": "2008-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2008000534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poplar Bluff, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2008; 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.