Individual provider Active NPI

Mary Rachelle Ogle Walker, MPT

  • Physical Therapist
  • Joplin, MO
National Provider Identifier
1609038165
Registry record updated Jun 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2005029647 Issued in MO
Practice address
2660 E 32ND St Ste 104
Joplin, MO 64804-4361
Phone
(417) 540-3564
NPI assigned
Jun 26, 2008
Last updated
Jun 26, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2005029647 MO Primary

Addresses

Primary practice location

2660 E 32ND St Ste 104
Joplin, MO 64804-4361

Mailing address

6630 Blackberry Rd
Sarcoxie, MO 64862-8381
Phone (417) 540-3564

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250415003682 MO Practitioner - Physical Therapist in Private Practice 6305361031 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Key Rehabilitation IncGroup PAC ID 9638086432, 59 clinicians

Practice addresses (Care Compare)

1011 Old Airport Rd
Monett, MO 65708-9105
Phone (417) 235-3500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2005029647MOMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Key Rehabilitation Inc CurrentSince Mar 15, 2025 Accepting new patients
Key Rehabilitation,Inc. Current Accepting new patients
Key Rehabilitation, Inc CurrentSince Mar 15, 2025 Accepting new patients

Locations

1011 Old Airport Rd
Monett, MO 65708
Phone (417) 235-3500

620 N Jefferson St
Saint James, MO 65559
Phone (573) 265-0448

1335 NW Broad St
Murfreesboro, TN 37129
Phone (615) 983-0240

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1214438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214438400000",
    "number": "1609038165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6630 BLACKBERRY RD",
            "city": "SARCOXIE",
            "state": "MO",
            "postal_code": "648628381",
            "telephone_number": "417-540-3564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2660 E 32ND ST STE 104",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648044361",
            "telephone_number": "417-540-3564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGLE WALKER",
        "first_name": "MARY",
        "middle_name": "RACHELLE",
        "name_prefix": "Mrs.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-26",
        "last_updated": "2008-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2005029647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joplin, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.