Lynn Nicole Netzer, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2015027196 Issued in MO

Practice address

2100 Silva LN
Ste B
Moberly, MO 65270-3600

Phone

(660) 263-6223

Fax

(660) 263-6224

NPI assigned

Aug 5, 2015

Last updated

Aug 5, 2015By 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 1

Addresses

Other names 1

• Lynn Veach Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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.

• Boone Physician Services, LLC

  • Multi-Specialty Clinic/Center
  • Columbia, MO
  • NPI 1760893259
  NPD (past)

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

{
    "created_epoch": "1438732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438732800000",
    "number": "1518343292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 N KEENE ST",
            "address_2": "SUITE 102",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652017193",
            "telephone_number": "573-443-0225",
            "fax_number": "573-443-0290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 SILVA LN",
            "address_2": "STE B",
            "city": "MOBERLY",
            "state": "MO",
            "postal_code": "652703600",
            "telephone_number": "660-263-6223",
            "fax_number": "660-263-6224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NETZER",
        "first_name": "LYNN",
        "middle_name": "NICOLE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-05",
        "last_updated": "2015-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2015027196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LYNN",
            "last_name": "VEACH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• N&Co Homecare LLC (Homecare of Mid Missouri)
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• Wendell K Nall, PHYSICAL THERAPIST
• Vamsi Mohan Narisetty
• Joanne Patricia Narr
• Abdul R, Nizam II, M.D
• North Village Park SNF Opco LLC (North Village Park)
• North Village Park, LLC
• Thomas O'Loughlin
• Oak Hills Behavioral Health Solutions

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2015; 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.