Physical Therapy & Rehabilitation Center Inc

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

Legal business name

PHYSICAL THERAPY & REHABILITATION CENTER INC

Practice address

1343 Village Drive
St Joseph, MO 64506

Phone

(816) 232-2878

Fax

(816) 232-5056

NPI assigned

Sep 25, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Karen Ann Melloway

Title

Office Manager

Phone

(816) 232-2878

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619077732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1343 VILLAGE DRIVE",
            "city": "ST JOSEPH",
            "state": "MO",
            "postal_code": "64506",
            "telephone_number": "816-232-2878",
            "fax_number": "816-232-5056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1343 VILLAGE DRIVE",
            "city": "ST JOSEPH",
            "state": "MO",
            "postal_code": "64506",
            "telephone_number": "816-232-2878",
            "fax_number": "816-232-5056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL THERAPY & REHABILITATION CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MELLOWAY",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "816-232-2878",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "06213018",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Miranda Phillips, PHARMD
• Moriah Phillips, DC
• Phoenix Urology of St. Joseph, Inc.
• Alanna Madison Phoenix
• Hao Thanh Phung, M.D.
• Physical Therapy & Rehabilitation Center, Inc.
• Physicians Acute Care Services, Inc (Northwest Missouri Emergency Physicians)
• Physicians Reference Laboratory LLC
• Nancy Sue Piercy, MS,LPC
• Pike Health Solutions

• Rehabilitation Clinic/Center in Saint Joseph, MO
• Providers in Saint Joseph, MO by specialty
• Rehabilitation Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.