Active NPI
Joseph William Pope, M.P.T.
- Physical Therapist
- Osage Beach, MO
National Provider Identifier
1619092707
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2005025962
- Practice address
- Lake Regional Health System
54 Hospital Drive
Osage Beach, MO 65065 - Phone
- (573) 348-8000
- NPI assigned
- Mar 20, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2005025962 | MO | Primary |
Addresses
Primary practice location
Lake Regional Health System
54 Hospital Drive
Osage Beach, MO 65065
Mailing address
350 Highway CC
Eldon, MO 65026-4033
Phone (573) 392-7940
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2005025962 | MO | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1619092707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 HIGHWAY CC",
"city": "ELDON",
"state": "MO",
"postal_code": "650264033",
"telephone_number": "573-392-7940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "LAKE REGIONAL HEALTH SYSTEM",
"address_2": "54 HOSPITAL DRIVE",
"city": "OSAGE BEACH",
"state": "MO",
"postal_code": "65065",
"telephone_number": "573-348-8000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POPE",
"first_name": "JOSEPH",
"middle_name": "WILLIAM",
"name_prefix": "Mr.",
"credential": "M.P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MO",
"license": "2005025962",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Osage Beach, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.