Brad Dean Hoskinson, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

117351 Issued in MO

Practice address

15688 US Highway 160 Ste a
Forsyth, MO 65653-8104

Phone

(417) 546-6030

Fax

(417) 546-6029

NPI assigned

Nov 15, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356413207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15688 US HIGHWAY 160 STE A",
            "city": "FORSYTH",
            "state": "MO",
            "postal_code": "656538104",
            "telephone_number": "417-546-6030",
            "fax_number": "417-546-6029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15688 US HIGHWAY 160 STE A",
            "city": "FORSYTH",
            "state": "MO",
            "postal_code": "656538104",
            "telephone_number": "417-546-6030",
            "fax_number": "417-546-6029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOSKINSON",
        "first_name": "BRAD",
        "middle_name": "DEAN",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "117351",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "121146",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Forsyth, MO
• Providers in Forsyth, MO by specialty
• Physical Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.