Anna Michelle Dubois, DPT
Individual provider Active NPI Physical Therapist · Fulton, MO
NPI 1508751272 · NPPES record last updated Jun 11, 2025
Key facts
- NPI
- 1508751272
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 2025021810 (MO)
- Practice address
- 366 Country Meadow LN
Fulton, MO 65251-5278 - Phone
- (573) 642-7216
- NPI assigned
- Jun 11, 2025
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Select Physical Therapy Holdings Inc
Practice addresses (Care Compare)
366 Country Meadow LN
Fulton, MO 65251-5278
Phone (573) 642-7216
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250731001562 | MO | Practitioner - Physical Therapist in Private Practice | 6305354556 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2025021810 | MO | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Select Physical Therapy Holdings Inc | Physical Therapist | Current | Accepting new patients |
| Select Physical Therapy Holdings Inc | Current |
Accepting new patients | |
| Select Physical Therapy Holdings Inc | Current |
Accepting new patients | |
| Select Physical Therapy Holdings Inc | Past | Accepting new patients |
Locations
155 Siemers Dr
Ste 8
Cape Girardeau, MO 63701
Phone (573) 334-6711
366 Country Meadow Ln
Fulton, MO 65251
Phone (573) 642-7216
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2025021810 | MO | Yes |
Addresses
Primary practice location
366 Country Meadow LN
Fulton, MO 65251-5278
Mailing address
366 Country Meadow LN
Fulton, MO 65251-5278
Other providers in Fulton, MO
- Amber Renae Dodson
- Tammy Doerhoff
- Richard Perez Doisy
- Julie Ann Dotzler
- Sandra Lynn Dreyer
- Brent Michael Dudenhoeffer
- Cheyenne Ray Dudenhoeffer
- Michaela Dawn Dudenhoeffer
- East Central Missouri Behavioral Health Serives, Inc
- East Central Missouri Behavioral Health Services, Inc.
All providers in Fulton, MO · Physical Therapist in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 11, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.