Emiliy Mesecher, PT, DPT

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

2016029503 Issued in MO

Practice address

1500 N Oakland Ave
Bolivar, MO 65613-3011

Phone

(417) 328-6515

NPI assigned

Sep 20, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1505865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505865600000",
    "number": "1669981841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "518 E SUMMIT ST",
            "city": "BOLIVAR",
            "state": "MO",
            "postal_code": "656131140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 N OAKLAND AVE",
            "city": "BOLIVAR",
            "state": "MO",
            "postal_code": "656133011",
            "telephone_number": "417-328-6515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MESECHER",
        "first_name": "EMILIY",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-20",
        "last_updated": "2017-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "MO",
            "license": "2016029503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dan McHan, RPHPHD
• Sylvia B McQueary, PSY.D.
• Dana M Meents, M.D.
• Retha Marceleen Melton, PA-C
• Menm, LLC
• Michele Vinson Investments LLC Dba Bolivar Manor House
• Jessica Lynn Miller, RD/LD
• Tommie L Miller, LCSW
• Missouri Speech Therapy
• Cynthia Diane Mitchell, RN, BSN

• Pediatric Physical Therapist in Bolivar, MO
• Providers in Bolivar, MO by specialty
• Pediatric Physical Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2017; 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.