Nancy Centlivre, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

1400823 Issued in KS

Practice address

402 West 1St St
Adrian, MO 64720-9277

Phone

(816) 297-2107

NPI assigned

Jun 8, 2007

Last updated

Dec 12, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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": "1181260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197417600000",
    "number": "1356544910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11900 MEADOW LN",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662091155",
            "telephone_number": "913-724-3485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 WEST 1ST ST",
            "city": "ADRIAN",
            "state": "MO",
            "postal_code": "647209277",
            "telephone_number": "816-297-2107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CENTLIVRE",
        "first_name": "NANCY",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-08",
        "last_updated": "2007-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "KS",
            "license": "1400823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Lynn Blum
• Christine Lynn Bohannon
• Brave Blooms Therapy LLC
• Meghan Eileen Brown, OTR
• Tiffany Calvert
• City of Adrian - Adrian Manor Health and Rehab
• Hannah Elizabeth Clayton
• D&S Health Partners, LLC
• D&S Health Partners, LLC (Summers Pharmacy of Adrian)
• Erma Louise Davis, CPTA

• Physical Therapy Assistant in Adrian, MO
• Providers in Adrian, MO by specialty
• Physical Therapy Assistant in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 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.