Ozark Physical Therapy

Primary specialty

SpecialistTaxonomy code 174400000X

License

117264 Issued in MO

Legal business name

OZARK PHYSICAL THERAPY

Practice address

2725 N Westwood Blvd
Poplar Bluff, MO 63901-2346

Phone

(573) 778-9348

Fax

(573) 686-4870

NPI assigned

Jul 19, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Stephanie Michelle Bass, ATC/R

Title

Certified Athletic Trainer

Phone

(573) 778-9348

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376562413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "784 HIGHWAY M",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639016657",
            "telephone_number": "573-778-9348",
            "fax_number": "573-686-4870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2725 N WESTWOOD BLVD",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639012346",
            "telephone_number": "573-778-9348",
            "fax_number": "573-686-4870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OZARK PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BASS",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "CERTIFIED ATHLETIC TRAINER",
        "authorized_official_telephone_number": "573-778-9348",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "ATC/R"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "MO",
            "license": "117264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ozark Hospice Family LLC
• Ozark OB-GYN LLC
• Ozark Physical Medicine Center for Operations Ozark Plaza and Medical
• Ozark Physical Medicine Center for Operations Ozark Plaza and Medical
• Ozark Physical Medicine Center for Operations Ozark Plaza and Medical
• Ozark Physical Therapy LLP
• Ozark Physical Therapy, LLP
• Ozark Rural Healthcare LLC
• Ozark Specialty Pharmacy and Home Infusion, LLC
• Teri Lynn Page, O.D.

• Specialist in Poplar Bluff, MO
• Providers in Poplar Bluff, MO by specialty
• Specialist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.