Organization Active NPI

Small Town Physical Therapy, LLC

  • Physical Therapist
  • Willow Springs, MO
National Provider Identifier
1366023913
Registry record updated Sep 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
SMALL TOWN PHYSICAL THERAPY, LLC
Practice address
110 Bear Dr Ste 3
Willow Springs, MO 65793-7103
Phone
(417) 252-3198
Fax
(855) 795-1906
NPI assigned
Apr 15, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2024

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

Authorized official

Name
Rebecca J Klapmeyer, PTNPI 1124035605
Title
Owner, Physical Therapist
Phone
(417) 252-3198

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

110 Bear Dr Ste 3
Willow Springs, MO 65793-7103

Mailing address

110 Bear Dr Ste 3
Willow Springs, MO 65793-7103
Phone (417) 252-3198

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210422002623 MO Part B Supplier - Physical/Occupational Therapy Group in Private Practice 4082022413 Receives reassigned benefits from 1 practitioner
Practice locations: Willow Springs, MO

National Provider Directory

National Provider Directory

Locations

110 Bear Dr
Ste 3
Willow Springs, MO 65793
Phone (417) 252-3198

110 Bear Dr
Ste 2
Willow Springs, MO 65793
Phone (417) 252-3198

301 E Main St
Ste 1
Willow Springs, MO 65793
Phone (417) 252-3198

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1618444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727308800000",
    "number": "1366023913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 BEAR DR STE 3",
            "city": "WILLOW SPRINGS",
            "state": "MO",
            "postal_code": "657937103",
            "telephone_number": "417-252-3198",
            "fax_number": "855-795-1906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 BEAR DR STE 3",
            "city": "WILLOW SPRINGS",
            "state": "MO",
            "postal_code": "657937103",
            "telephone_number": "417-252-3198",
            "fax_number": "855-795-1906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMALL TOWN PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-15",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A",
        "authorized_official_last_name": "KLAPMEYER",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER, PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "417-252-3198",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willow Springs, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.