Active NPI
Marikay Lou Asberry, MSPT/ATC
- Physical Therapist
- Rolla, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT109661
- Practice address
- 906 N Cedar St
Rolla, MO 65401-3350 - Phone
- (573) 338-0999
- Fax
- (573) 368-2777
- NPI assigned
- May 9, 2006
- Last updated
- Aug 1, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT109661 | MO | Primary |
Addresses
Primary practice location
906 N Cedar St
Rolla, MO 65401-3350
Mailing address
906 N Cedar St
Rolla, MO 65401-3350
Phone (573) 338-0999
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 484018700 | Medicaid | MO |
Other names 1
- Marikay Lou Kadlec
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3301 Berrywood Dr
Suite 204
Columbia, MO 65201-6517
Phone (573) 449-8771
601 Kingshighway St
Suite a
Rolla, MO 65401-2927
Phone (573) 368-0999
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT109661 | MO | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Missouri Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Boone Physician Services, LLC | Current | Accepting new patients |
Locations
1600 E Broadway
Columbia, MO 65201
Phone (573) 632-5000
1705 E Broadway
Ste 280
Columbia, MO 65201
Phone (573) 815-7119
3301 Berrywood Dr
Ste 204
Columbia, MO 65201
Phone (573) 374-7579
601 Kingshighway St
Ste A
Rolla, MO 65401
Phone (573) 368-0999
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Multi-Specialty Clinic/Center
- Columbia, MO
- NPI 1760893259
-
dba Peak Sport and Spine
- Physical Therapist
- Columbia, MO
- NPI 1558436592
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375315200000",
"number": "1699724351",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "906 N CEDAR ST",
"city": "ROLLA",
"state": "MO",
"postal_code": "654013350",
"telephone_number": "573-338-0999",
"fax_number": "573-368-2777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "906 N CEDAR ST",
"city": "ROLLA",
"state": "MO",
"postal_code": "654013350",
"telephone_number": "573-338-0999",
"fax_number": "573-368-2777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ASBERRY",
"first_name": "MARIKAY",
"middle_name": "LOU",
"credential": "MSPT/ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-09",
"last_updated": "2013-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MO",
"license": "PT109661",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "484018700",
"state": "MO"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MARIKAY",
"last_name": "KADLEC",
"middle_name": "LOU",
"credential": "MSPT/ATC",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Rolla, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.