Patrick Joseph Cuppy

Primary specialty

Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X

License

2012004487 Issued in MO

Practice address

2035 West Georgia Street
Louisiana, MO 63353

Phone

(573) 560-5530

Fax

(573) 754-6962

NPI assigned

Jul 6, 2023

Sex

Male

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1688601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688601600000",
    "number": "1679251177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "554 SPRINGHURST PKWY",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633687450",
            "telephone_number": "636-485-2602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2035 WEST GEORGIA STREET",
            "city": "LOUISIANA",
            "state": "MO",
            "postal_code": "63353",
            "telephone_number": "573-560-5530",
            "fax_number": "573-754-6962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUPPY",
        "first_name": "PATRICK",
        "middle_name": "JOSEPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-06",
        "last_updated": "2023-07-06",
        "certification_date": "2023-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "MO",
            "license": "2012004487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Tara Dickherber, LPC
• Michelle Drakesmith
• Edward a. Cline, DPM, PC
• Family Health Pharmacies Inc (Family Drug)

• Sports Medicine (Physical Medicine & Rehabilitation) Physician in Louisiana, MO
• Providers in Louisiana, MO by specialty
• Sports Medicine (Physical Medicine & Rehabilitation) Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2023; 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.