Active NPI
Paul Thomas
- Physical Therapy Assistant
- Mound City, MO
National Provider Identifier
1396071965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 115064
- Practice address
- 1105 State St
Mound City, MO 64470-7202 - Phone
- (816) 262-5956
- NPI assigned
- Nov 2, 2009
- Sex
- Male
- Sole proprietor
- Yes
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 Therapy Assistant | 225200000X | 115064 | MO | Primary |
Addresses
Primary practice location
1105 State St
Mound City, MO 64470-7202
Mailing address
1512 NW Kingston Dr
Blue Springs, MO 64015-2479
Phone (816) 853-8031
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 115064 | MO | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1257120000000",
"number": "1396071965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1512 NW KINGSTON DR",
"city": "BLUE SPRINGS",
"state": "MO",
"postal_code": "640152479",
"telephone_number": "816-853-8031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1105 STATE ST",
"city": "MOUND CITY",
"state": "MO",
"postal_code": "644707202",
"telephone_number": "816-262-5956"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "PAUL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-11-02",
"last_updated": "2009-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "MO",
"license": "115064",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mound City, MO
- Rachel Sharp, D.C.
- Colette Elaine Spencer, OTR/L
- Hailey Nicole Sprague, LMT
- Samantha Jean Sutton, DDS
- Shannon Tharp
- Tiffany Care Centers, Inc (Tiffany In Home Services)
- Tiffany Care Centers, Inc (Tiffany In Home Services)
- Tiffany Care Centers, Inc (Tiffany In Home Services)
- Tiffany Care Centers, Inc. (Tiffany Heights)
- Tiffany Healthcare LLC (Tiffany Heights)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.