Amy Michelle Gossen, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2007010485 Issued in MO

Practice address

1911 Buena Vista Ave
Carthage, MO 64836-3178

Phone

(417) 358-0209

Fax

(417) 358-3207

NPI assigned

Nov 2, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Amy Michelle Cyr Former name

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.

• Industrial Physical Therapy, Inc.

  • Physical Therapy Clinic/Center
  • Joplin, MO
  • NPI 1700978087

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457439796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1911 BUENA VISTA AVE",
            "city": "CARTHAGE",
            "state": "MO",
            "postal_code": "648363178",
            "telephone_number": "417-358-0209",
            "fax_number": "417-358-3207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1911 BUENA VISTA AVE",
            "city": "CARTHAGE",
            "state": "MO",
            "postal_code": "648363178",
            "telephone_number": "417-358-0209",
            "fax_number": "417-358-3207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOSSEN",
        "first_name": "AMY",
        "middle_name": "MICHELLE",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "20874",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2007010485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "CYR",
            "middle_name": "MICHELLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• William Don George, M.D.
• Ashleigh Gibson
• Phoebe J Glover, LCSW
• Gregory J. Goetzinger, OD
• Brenda Lee Gordon, MS CCCSLP
• Grace Theios, LLC
• H I S Unlimited, Inc. (Comforcare Senior Services-Southwest Missouri)
• H I S Unlimited, Inc. (ComForcare Senior Services - Southwest Missouri)
• Jonathan David Haffner, MD
• Jeff Hahnen, PHLEBOTOMIST

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.