Superior Physical Therapy, PLLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2007026036 Issued in MO

Legal business name

SUPERIOR PHYSICAL THERAPY, PLLC

Practice address

841 E Country Ridge St
Nixa, MO 65714-7668

Phone

(417) 300-3651

NPI assigned

Sep 2, 2011

Last updated

Sep 2, 2011By 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

Mr. Zachary H Ball, MPT

Title

Owner, Physical Therapist

Phone

(417) 300-3651

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1314921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314921600000",
    "number": "1619258605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "841 E COUNTRY RIDGE ST",
            "city": "NIXA",
            "state": "MO",
            "postal_code": "657147668",
            "telephone_number": "417-300-3651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "841 E COUNTRY RIDGE ST",
            "city": "NIXA",
            "state": "MO",
            "postal_code": "657147668",
            "telephone_number": "417-300-3651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERIOR PHYSICAL THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-02",
        "last_updated": "2011-09-02",
        "status": "A",
        "authorized_official_last_name": "BALL",
        "authorized_official_first_name": "ZACHARY",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER, PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "417-300-3651",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2007026036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caitlin Elizabeth Stinnett
• Nancy Marie Stover
• Karen Stutzman, O.T.
• Jenn Sullivan-Cox
• Kara E Sullivan
• Elicia Sutton, FNP
• Scott Swafford, P.T.A.
• Meghan Talarico, MS. LBA, BCBA
• Rebecca Taratuta
• Jackson Hanson Taylor

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2011; 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.