Individual provider Active NPI

Zoey Nicole Crow

  • Physical Therapy Assistant
  • Joplin, MO
National Provider Identifier
1619790847
Registry record updated Nov 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
2021024907 Issued in MO
Practice address
223 W 3Rd St Ste a
Joplin, MO 64801-2512
Phone
(417) 850-5437
NPI assigned
Nov 5, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 2021024907 MO
Physical Therapy Assistant 225200000X 2021024907 MO Primary

Addresses

Primary practice location

223 W 3Rd St Ste a
Joplin, MO 64801-2512

Mailing address

223 W 3Rd St Ste a
Joplin, MO 64801-2512

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

LicenseStateTypeSpecialty
2021024907MOMDPhysical Therapy Clinic/Center

Practice roles

OrganizationSpecialtyStatusNew patients
Outreach Occupational Therapy LLC Physical Therapy CurrentSince Jan 12, 2025 Accepting new patients

Locations

223 W 3rd St
Ste A
Joplin, MO 64801
Phone (417) 850-5437

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1730764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1619790847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 W 3RD ST STE A",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648012512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 W 3RD ST STE A",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648012512",
            "telephone_number": "417-850-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROW",
        "first_name": "ZOEY",
        "middle_name": "NICOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-05",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MO",
            "license": "2021024907",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MO",
            "license": "2021024907",
            "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 Nov 5, 2024; 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.