Callie Coppedge Emmart, PHYSICAL THERAPIST

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2009005438 Issued in MO

Practice address

403 Hwy 160 West
Gainesville, MO 65655

Phone

(417) 679-4929

NPI assigned

Jul 17, 2013

Last updated

Jul 17, 2013By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1374019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374019200000",
    "number": "1609218742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RR 3 BOX 147G",
            "city": "AVA",
            "state": "MO",
            "postal_code": "656088107",
            "telephone_number": "417-683-0187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 HWY 160 WEST",
            "city": "GAINESVILLE",
            "state": "MO",
            "postal_code": "65655",
            "telephone_number": "417-679-4929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMMART",
        "first_name": "CALLIE",
        "middle_name": "COPPEDGE",
        "name_prefix": "Ms.",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-17",
        "last_updated": "2013-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2009005438",
            "primary": true
        },
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "MO",
            "license": "2009005438",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clear View Consulting and Behavioral Health
• Community Care Center of Gainesville, Inc (Gainesville Health Care Center)
• Tamara Dees, LCSW
• Douglas County Public Health Services Group, Inc. (Missouri Ozarks Community Health)
• Douglas County Public Health Services Group, Inc. (Missouri Ozarks Community Health)
• Firstcall Family Healthcare
• Gainesville Pharmacy LLC
• Gainesville R-V School District
• Chris V Geroff, DDS
• Rebecca Marie Gosdin, LCSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.