Maria Concepcion Reyes Tabberrah, RPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070017498 Issued in IL

Practice address

214 W. 5TH St.
GMM Pro-Care Providers, Inc.
Joplin, MO 64801

Phone

(417) 782-2917

Fax

(417) 782-7038

NPI assigned

Mar 2, 2010

Last updated

Mar 2, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Greater Missouri Medical Pro-Care Providers, Inc

  • Home Health Agency
  • Joplin, MO
  • NPI 1013216795
  NPD (past)

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

{
    "created_epoch": "1267488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267488000000",
    "number": "1407179658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 CONNECTICUT ST.",
            "address_2": "APARTMENT D3",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "64804",
            "telephone_number": "417-782-2917",
            "fax_number": "417-782-7038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 W. 5TH ST.",
            "address_2": "GMM PRO-CARE PROVIDERS, INC.",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "64801",
            "telephone_number": "417-782-2917",
            "fax_number": "417-782-7038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TABBERRAH",
        "first_name": "MARIA CONCEPCION",
        "middle_name": "REYES",
        "name_prefix": "Ms.",
        "credential": "RPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-02",
        "last_updated": "2010-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070017498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Sze, DO
• Adam Pawel Szymala
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• Aaron Thomas Tabb
• Julie Lynn Tabb
• Steven J Taggart, M.D.
• Alex Kirkson Talbott, DDS
• Amanda A Talley
• Talon Maningas D.O. LLC
• Berna Durano Tan, OTR

• Physical Therapist in Joplin, MO
• Providers in Joplin, MO by specialty
• Physical Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2010; 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.