Organization Active NPI

Physical Therapy of Higginsville

  • Physical Therapist
  • Higginsville, MO
National Provider Identifier
1457396756
Registry record updated Nov 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
PHYSICAL THERAPY OF HIGGINSVILLE
Practice address
720 Fairground Ave
Higginsville, MO 64037-1638
Phone
(660) 584-7801
Fax
(660) 584-8619
NPI assigned
Jun 19, 2006
Last updated
Nov 2, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2012

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

Authorized official

Name
Mr. David F Brummel, MED RPT
Title
Owner/Therapist
Phone
(660) 584-7801

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

720 Fairground Ave
Higginsville, MO 64037-1638

Mailing address

720 Fairground Ave
Higginsville, MO 64037-1638
Phone (660) 584-7801

Other identifiers 1

IdentifierTypeStateIssuer
29748028OtherMOBCBSKC

National Provider Directory

National Provider Directory

Locations

12 W 19th St
Higginsville, MO 64037
Phone (660) 584-2927

120 SW 2nd St
#103
Lees Summit, MO 64063

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351814400000",
    "number": "1457396756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 FAIRGROUND AVE",
            "city": "HIGGINSVILLE",
            "state": "MO",
            "postal_code": "640371638",
            "telephone_number": "660-584-7801",
            "fax_number": "660-584-8619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 FAIRGROUND AVE",
            "city": "HIGGINSVILLE",
            "state": "MO",
            "postal_code": "640371638",
            "telephone_number": "660-584-7801",
            "fax_number": "660-584-8619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL THERAPY OF HIGGINSVILLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-19",
        "last_updated": "2012-11-02",
        "status": "A",
        "authorized_official_last_name": "BRUMMEL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "660-584-7801",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MED RPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSKC",
            "identifier": "29748028",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Higginsville, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2012; 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.