Active NPI
The Therapysource LLC
- Physical Therapy Clinic/Center
- Owensville, MO
National Provider Identifier
1538198825
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Legal business name
- THE THERAPYSOURCE LLC
- Practice address
- 1212 W Highway 28
Owensville, MO 65066-1669 - Phone
- (573) 437-8011
- Fax
- (573) 437-8022
- NPI assigned
- Jul 1, 2006
- Last updated
- Apr 29, 2013
- 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
- Paula Kay Copeland, PT
- Title
- PT/Owner
- Phone
- (573) 437-8011
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | NU | Primary |
Addresses
Primary practice location
1212 W Highway 28
Owensville, MO 65066-1669
Mailing address
PO Box 567
Owensville, MO 65066-0567
Phone (573) 437-8011
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 574687307 | Medicaid | MO |
National Provider Directory
National Provider DirectoryLocations
1912 Nursing Home Rd
Owensville, MO 65066
Phone (573) 437-8011
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Physical Therapist
- Owensville, MO
- NPI 1710137005
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151712000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1367193600000",
"number": "1538198825",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 567",
"city": "OWENSVILLE",
"state": "MO",
"postal_code": "650660567",
"telephone_number": "573-437-8011",
"fax_number": "573-437-8022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1212 W HIGHWAY 28",
"city": "OWENSVILLE",
"state": "MO",
"postal_code": "650661669",
"telephone_number": "573-437-8011",
"fax_number": "573-437-8022"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE THERAPYSOURCE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-01",
"last_updated": "2013-04-29",
"status": "A",
"authorized_official_last_name": "COPELAND",
"authorized_official_first_name": "PAULA",
"authorized_official_middle_name": "KAY",
"authorized_official_title_or_position": "PT/OWNER",
"authorized_official_telephone_number": "573-437-8011",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "574687307",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Owensville, MO
- Kathyren Marie Southerland, PTA
- Benjamin T Spitznagel, PHARMD
- Roger Alden Stewart, DC
- Megan L Stutheit, FNP-C
- Bonny Elizabeth Thacker, PSY.D.
- Melissa Lea Thoenen, PTA
- Janice Torel, RDH
- Olivia A Uebelhor, PT, DPT
- Victorian Manor of Washington Memory Care Inc. (Victorian Manor of Washington Memory Care)
- Olivia Renee Vollmar, DPT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.