Organization Active NPI

The Therapysource LLC

  • Physical Therapy Clinic/Center
  • Owensville, MO
National Provider Identifier
1538198825
Registry record updated Apr 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
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, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2013

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

Authorized official

Name
Paula Kay Copeland, PTNPI 1710137005
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
574687307MedicaidMO

National Provider Directory

National Provider Directory

Locations

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.

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

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.

Verify at the official NPI Registry.