Physical Therapy Specialist Clinic, Inc.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2003016144 Issued in MO

Legal business name

PHYSICAL THERAPY SPECIALIST CLINIC, INC.

Practice address

1480 W 8TH St
West Plains, MO 65775-2010

Phone

(417) 256-5669

Fax

(417) 256-5699

NPI assigned

Jun 9, 2006

Last updated

Sep 26, 2013By 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

Mary Helen Sheid, PT, OCS

Title

Ceo

Phone

(417) 256-5669

Specialties & licenses 15

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Locations

Interoperability endpoints

• Direct secure messaging: abigailmartin@ptsci.allscriptsdirect.net
• Direct secure messaging: christophergreen@ptsci.allscriptsdirect.net
• Direct secure messaging: cynthiabadolian@ptsci.allscriptsdirect.net
• Direct secure messaging: elizabethbisoux@ptsci.allscriptsdirect.net
• Direct secure messaging: jamesstovall@ptsci.allscriptsdirect.net
• Direct secure messaging: katieshannon@ptsci.allscriptsdirect.net
• Direct secure messaging: marysheid@ptsci.allscriptsdirect.net
• Direct secure messaging: randaporter@ptsci.allscriptsdirect.net
• Direct secure messaging: randyhawkins@ptsci.allscriptsdirect.net
• Direct secure messaging: tammybarks@ptsci.allscriptsdirect.net
• Direct secure messaging: vallierogers@ptsci.allscriptsdirect.net
• Direct secure messaging: vincebeam@ptsci.allscriptsdirect.net
• Direct secure messaging: violethampton@ptsci.allscriptsdirect.net

Practitioners 45

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Parker Daniel Matteson, DPT

  • Physical Therapist
  • West Plains, MO
  • NPI 1578304234
  Medicare reassignment Care Compare group NPD
• Jacob Henry McCrackin

  • Physical Therapist
  • West Plains, MO
  • NPI 1629964291
  Medicare reassignment Care Compare group NPD
• Mary H Schrag, PT, OCS

  • Physical Therapist
  • West Plains, MO
  • NPI 1194761650
  Medicare reassignment Care Compare group NPD
• Vallie Jo Rogers, PT

  • Physical Therapist
  • Mountain Grove, MO
  • NPI 1952314957
  Medicare reassignment Care Compare group
• James R Stovall, PT,ATC,CSCS

  • Physical Therapist
  • Mountain Grove, MO
  • NPI 1356315105
  Medicare reassignment Care Compare group
• Zachary Keith, PT, DPT

  • Physical Therapist
  • Ava, MO
  • NPI 1356018808
  Medicare reassignment NPD
• Brittany Roberts, DPT

  • Physical Therapist
  • Lake Placid, FL
  • NPI 1265942122

  MO

  Medicare reassignment NPD
• Cynthia Therese Badolian, PTA

  • Massage Therapist
  • West Plains, MO
  • NPI 1861584658

  Physical Therapy Assistant

  NPD
• Tammera J Barks

  • Physical Therapy Assistant
  • West Plains, MO
  • NPI 1932132875
  NPD
• Vincent Lee Beam, A.T.,C.

  • Athletic Trainer
  • West Plains, MO
  • NPI 1497713127
  NPD
• Anthony Joseph Bruzzichesi, ATC

  • Physical Therapy Assistant
  • Mountain Grove, MO
  • NPI 1699346411
  NPD
• Alicia Goshorn, PTA

  • Physical Therapy Assistant
  • West Plains, MO
  • NPI 1598346058
  NPD

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380153600000",
    "number": "1659312619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1480 W 8TH ST",
            "city": "WEST PLAINS",
            "state": "MO",
            "postal_code": "657752010",
            "telephone_number": "417-256-5669",
            "fax_number": "417-256-5699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1480 W 8TH ST",
            "city": "WEST PLAINS",
            "state": "MO",
            "postal_code": "657752010",
            "telephone_number": "417-256-5669",
            "fax_number": "417-256-5699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL THERAPY SPECIALIST CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-09",
        "last_updated": "2013-09-26",
        "status": "A",
        "authorized_official_last_name": "SHEID",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "HELEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "417-256-5669",
        "authorized_official_credential": "PT, OCS"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "MO",
            "license": "005362",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2003016144",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "01442",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "107429",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MO",
            "license": "2006029256",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MO",
            "license": "116745",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MO",
            "license": "2001031039",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MO",
            "license": "107041",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MO",
            "license": "118541",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MO",
            "license": "109647",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MO",
            "license": "114070",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MO",
            "license": "2003019075",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MO",
            "license": "2001033005",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "2006020966",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "115072",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREMIER",
            "identifier": "497721142SHE",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH",
            "identifier": "792288",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF MO",
            "identifier": "31277",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "973358",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "336556",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "507432102",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marcie Jo Perkins
• Stacey Lynn Perkins, MAADC II
• Jeffrey Perry
• Greg Peugh
• Cassandra Dominique Phenix
• Caleb Jordan Piatt, D.O.
• John Robert Piatt, PA
• Jodi Jones Pierce, MS, CCC-SLP
• Anthony Steven Pilalas
• Kameron Day Piper, OD, MBA

• Physical Therapist in West Plains, MO
• Providers in West Plains, 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 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.