NPIMap

Organization Active NPI

Health Centers of Missouri, LLC

Doing business as Health Centers of the Ozarks

  • Physical Therapist
  • Branson, MO
National Provider Identifier
1699186320
Registry record updated May 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
HEALTH CENTERS OF MISSOURI, LLC
Doing business as
Health Centers of the Ozarks
Practice address
1232 Branson Hills Pkwy Ste 202
Branson, MO 65616-4188
Phone
(417) 338-9355
NPI assigned
May 15, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2014

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

Authorized official

Name
Brian E Wurst, D.C.NPI 1205896412
Title
Organizer
Phone
(417) 338-9355

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X

Addresses

Primary practice location

1232 Branson Hills Pkwy Ste 202
Branson, MO 65616-4188

Mailing address

1232 Branson Hills Pkwy Ste 202
Branson, MO 65616-4188
Phone (417) 338-9355

Other names 1

  • HEALTH CENTERS OF THE OZARKS Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141015002203 MO Part B Supplier - Clinic/Group Practice 0446471437 Receives reassigned benefits from 2 practitioners
Practice locations: Branson, MO

National Provider Directory

National Provider Directory

Locations

1232 Branson Hills Pkwy
Ste 202
Branson, MO 65616
Phone (417) 338-9355

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1400112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400112000000",
    "number": "1699186320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1232 BRANSON HILLS PKWY STE 202",
            "city": "BRANSON",
            "state": "MO",
            "postal_code": "656164188",
            "telephone_number": "417-338-9355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1232 BRANSON HILLS PKWY STE 202",
            "city": "BRANSON",
            "state": "MO",
            "postal_code": "656164188",
            "telephone_number": "417-338-9355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH CENTERS OF MISSOURI, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-15",
        "last_updated": "2014-05-15",
        "status": "A",
        "authorized_official_last_name": "WURST",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "ORGANIZER",
        "authorized_official_telephone_number": "417-338-9355",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HEALTH CENTERS OF THE OZARKS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Branson, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2014; 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.