Active NPI
Brittany Conner
- Physical Therapist
- Springfield, MO
National Provider Identifier
1356702187
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2017012604
- Practice address
- 3545 S National Ave
Springfield, MO 65807-7310 - Phone
- (417) 269-5500
- Fax
- (417) 269-5508
- NPI assigned
- Mar 7, 2016
- Sex
- Female
- 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 | 2017012604 | MO | Primary |
Addresses
Primary practice location
3545 S National Ave
Springfield, MO 65807-7310
Mailing address
3545 S National Ave
Springfield, MO 65807-7310
Phone (417) 269-5500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2017012604 | MO | MD | Physical Therapist |
| 5134 | OK | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1457308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589760000000",
"number": "1356702187",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3545 S NATIONAL AVE",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658077310",
"telephone_number": "417-269-5500",
"fax_number": "417-269-5508"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3545 S NATIONAL AVE",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658077310",
"telephone_number": "417-269-5500",
"fax_number": "417-269-5508"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONNER",
"first_name": "BRITTANY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-03-07",
"last_updated": "2020-05-18",
"certification_date": "2020-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MO",
"license": "2017012604",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Springfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.