Organization Active NPI

Terwilleger Therapy Team

  • Physical Therapy Clinic/Center
  • Kearney, MO
National Provider Identifier
1467905703
Registry record updated Aug 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
2001014538 Issued in MO
Legal business name
TERWILLEGER THERAPY TEAM
Practice address
2105 Prairie Creek Dr
Kearney, MO 64060-7628
Phone
(816) 724-1157
NPI assigned
Aug 3, 2016
Last updated
Aug 3, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2016

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

Authorized official

Name
Greg Terwilleger, OTR/L
Title
Occupational Therapist
Phone
(816) 724-1157

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 2001014538 MO Primary

Addresses

Primary practice location

2105 Prairie Creek Dr
Kearney, MO 64060-7628

Mailing address

2105 Prairie Creek Dr
Kearney, MO 64060-7628
Phone (816) 724-1157

Other identifiers 1

IdentifierTypeStateIssuer
475694717MedicaidMO

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1470182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470182400000",
    "number": "1467905703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2105 PRAIRIE CREEK DR",
            "city": "KEARNEY",
            "state": "MO",
            "postal_code": "640607628",
            "telephone_number": "816-724-1157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2105 PRAIRIE CREEK DR",
            "city": "KEARNEY",
            "state": "MO",
            "postal_code": "640607628",
            "telephone_number": "816-724-1157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERWILLEGER THERAPY TEAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-03",
        "last_updated": "2016-08-03",
        "status": "A",
        "authorized_official_last_name": "TERWILLEGER",
        "authorized_official_first_name": "GREG",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "816-724-1157",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MO",
            "license": "2001014538",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "475694717",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kearney, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2016; 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.