Active NPI
Todd M Ankenman, PT
- Physical Therapist
- Columbia, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 02216
- Practice address
- 3301 Berrywood Dr
Suite 204
Columbia, MO 65201-6517 - Phone
- (573) 449-8771
- Fax
- (573) 449-6563
- NPI assigned
- Jul 5, 2006
- Last updated
- Mar 18, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 02216 | MO | Primary |
| Athletic Trainer | 2255A2300X | 111268 | MO |
Addresses
Primary practice location
3301 Berrywood Dr
Suite 204
Columbia, MO 65201-6517
Mailing address
3301 Berrywood Dr
Suite 204
Columbia, MO 65201-6517
Phone (573) 449-8771
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2003 W Broadway
Suite 105
Columbia, MO 65203-1111
Phone (573) 474-5111
3301 Berrywood Dr
Suite 204
Columbia, MO 65201-6517
Phone (573) 449-8771
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02216 | MO | MD | Physical Therapist |
| 111268 | MO | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Missouri Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Boone Physician Services, LLC | Current | Accepting new patients | |
| Brookfield Physical Therapy,Inc. | Physical Therapist | Past | Accepting new patients |
| Chas Physician Services LLC | Past | Accepting new patients | |
| Malloy Holdings, LLC | Past | Accepting new patients | |
| Northland Physical Therapy & Rehab Services, Inc | Physical Therapist | Past | Accepting new patients |
| BDM Associates LLC | Physical Therapist | Past | Accepting new patients |
| Central Physical Rehabilitation and Sports Medicine, LLC | Physical Therapist | Past | Accepting new patients |
Locations
1600 E Broadway
Columbia, MO 65201
Phone (573) 632-5000
1605 E Broadway
Ste 300
Columbia, MO 65201
Phone (573) 256-7700
1705 E Broadway
Ste 280
Columbia, MO 65201
Phone (573) 815-7119
2003 W Broadway
Ste 105
Columbia, MO 65203
Phone (573) 474-5111
3301 Berrywood Dr
Ste 204
Columbia, MO 65201
Phone (573) 374-7579
2625 Fairway Dr
Ste C
Fulton, MO 65251
Phone (573) 592-7750
1705 Christy Dr
Ste 200
Jefferson Cty, MO 65101
Phone (573) 634-3338
777 S New Ballas Rd
Ste 218E
Saint Louis, MO 63141
Phone (314) 681-2800
3222 W 16th St
Sedalia, MO 65301
Phone (660) 827-6800
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Multi-Specialty Clinic/Center
- Columbia, MO
- NPI 1760893259
-
dba Peak Sport and Spine
- Physical Therapist
- Columbia, MO
- NPI 1558436592
-
dba Peak Performance Physical Therapy & Sports Medicine
- Physical Therapist
- Columbia, MO
- NPI 1801847033
-
- Physical Therapist
- Brookfield, MO
- NPI 1396843819
-
- Physical Therapy Clinic/Center
- Warrensburg, MO
- NPI 1851425912
Physical Therapist
-
- Cardiovascular Disease Physician
- Columbia, MO
- NPI 1629301163
-
dba Brookfield Phyiscal Therapy
- Physical Therapy Clinic/Center
- Brookfield, MO
- NPI 1659783942
-
- Physical Therapist
- N Kansas City, MO
- NPI 1740273218
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1426636800000",
"number": "1386675676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3301 BERRYWOOD DR",
"address_2": "SUITE 204",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652016517",
"telephone_number": "573-449-8771",
"fax_number": "573-449-6563"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3301 BERRYWOOD DR",
"address_2": "SUITE 204",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652016517",
"telephone_number": "573-449-8771",
"fax_number": "573-449-6563"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANKENMAN",
"first_name": "TODD",
"middle_name": "M",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-05",
"last_updated": "2015-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MO",
"license": "02216",
"primary": true
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "MO",
"license": "111268",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.