NPIMap

Organization Active NPI

Bizzee Kidz Therapy, LLC

  • Physical Therapist
  • Poplar Bluff, MO
National Provider Identifier
1659686038
Registry record updated Aug 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
108147 Issued in MO
Legal business name
BIZZEE KIDZ THERAPY, LLC
Practice address
4358 Highway PP
Poplar Bluff, MO 63901-1552
Phone
(573) 686-5439
Fax
(573) 778-0103
NPI assigned
Aug 10, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2010

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

Authorized official

Name
Mrs. Staci Blankenship, MSOTR/LNPI 1003870304
Title
Partner/Owner
Phone
(573) 686-5439

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 224Z00000X 005426 MO
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 108147 MO Primary
Physical Therapy AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 225200000X 2007030326 MO
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X 2002000623 MO
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X 2004032542 MO
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X 104632 MO

Addresses

Primary practice location

4358 Highway PP
Poplar Bluff, MO 63901-1552

Mailing address

4358 Highway PP
Poplar Bluff, MO 63901-1552
Phone (573) 686-5439

National Provider Directory

National Provider Directory

Locations

4358 Highway PP
Poplar Bluff, MO 63901
Phone (573) 686-5439

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1281398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281398400000",
    "number": "1659686038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4358 HIGHWAY PP",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639011552",
            "telephone_number": "573-686-5439",
            "fax_number": "573-778-0103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4358 HIGHWAY PP",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639011552",
            "telephone_number": "573-686-5439",
            "fax_number": "573-778-0103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIZZEE KIDZ THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-10",
        "last_updated": "2010-08-10",
        "status": "A",
        "authorized_official_last_name": "BLANKENSHIP",
        "authorized_official_first_name": "STACI",
        "authorized_official_title_or_position": "PARTNER/OWNER",
        "authorized_official_telephone_number": "573-686-5439",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSOTR/L"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapy Assistant",
            "state": "MO",
            "license": "005426",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "108147",
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapy Assistant",
            "state": "MO",
            "license": "2007030326",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "MO",
            "license": "2002000623",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "MO",
            "license": "2004032542",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "104632",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poplar Bluff, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2010; 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.