Active NPI
Christopher Ray Wheatley, MPT
- Physical Therapist
- Poplar Bluff, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2008000534
- 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, 2008
- Sex
- Male
- Sole proprietor
- No
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 | 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
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2008000534 | MO | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tinsley Home Medical Services, LLC | Current | Accepting new patients | |
| Ozark Physical Medicine Center for Operations Ozark Plaza and Medical | Physical Therapist | Current | Accepting new patients |
| Ozark Physical Medicine Center for Operations Ozark Plaza and Medical | Current | Accepting new patients | |
| Midwest Therapy Services | Physical Therapist | Past | 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
- 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.
-
- Family Medicine Physician
- Poplar Bluff, MO
- NPI 1003406539
-
- Physical Therapy Clinic/Center
- Poplar Bluff, MO
- NPI 1053821322
Physical Therapist
-
dba Ozark Home Medical Equipment
- Durable Medical Equipment & Medical Supplies
- Poplar Bluff, MO
- NPI 1669982963
-
- Registered Dietitian
- Poplar Bluff, MO
- NPI 1770555674
-
dba Ozark Physical Therapy
- Physical Therapist
- Poplar Bluff, MO
- NPI 1013142892
-
- Durable Medical Equipment & Medical Supplies
- Poplar Bluff, MO
- NPI 1942272836
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.