Active NPI
Terwilleger Therapy Team
- Physical Therapy Clinic/Center
- Kearney, MO
National Provider Identifier
1467905703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- 2001014538
- 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, 2016
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 475694717 | Medicaid | MO |
National Provider Directory
National Provider DirectoryNPI 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
- Summers Pharmacy of Kearney, Corp. (Summers Pharmacy - Long Term Care)
- Summers Pharmacy of Kearney, Corp. (Summers Pharmacy)
- Stacy Dawn Sunderwirth-Caraway, P.T.
- Susan Southworth, Psy.D. LLC
- Annah C Sybouts, FNP-C
- The Pelvic Place KC LLC
- Robert D Thomas, MD
- Matthew Alan Tobler, DMD
- True Health and Performance
- Peter James Trujillo Jr., PT
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.