NPIMap

Organization Active NPI

BDM Associates LLC

  • Physical Therapist
  • Centralia, MO
National Provider Identifier
1699798561
Registry record updated Jun 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
BDM ASSOCIATES LLC
Practice address
1238 Remington Drive
Centralia, MO 65240-1197
Phone
(573) 682-2230
Fax
(573) 682-9580
NPI assigned
Jul 25, 2006
Organization subpart
Yes
Parent organization
BDM ASSOCIATES LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 9, 2011

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

Authorized official

Name
Brenda J Reeder
Title
Director of Billing
Phone
(573) 449-6082

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary
Athletic TrainerGroup: 193200000X MULTI-SPECIALTY GROUP 2255A2300X
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X

Addresses

Primary practice location

1238 Remington Drive
Centralia, MO 65240-1197

Mailing address

3301 Berrywood Dr
Suite 204
Columbia, MO 65201-6517
Phone (573) 449-8771

Other identifiers 1

IdentifierTypeStateIssuer
834765000MedicaidMO

Other names 1

  • Peak Performance Physical Therapy & Sports Medicine Doing business as

National Provider Directory

National Provider Directory
Tax ID family
BDM Associates LLC9 organizations share this tax ID, including this one
Part of
BDM Associates LLC

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307577600000",
    "number": "1699798561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 BERRYWOOD DR",
            "address_2": "SUITE 204",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652016517",
            "telephone_number": "573-449-8771",
            "fax_number": "573-449-6563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1238 REMINGTON DRIVE",
            "city": "CENTRALIA",
            "state": "MO",
            "postal_code": "652401197",
            "telephone_number": "573-682-2230",
            "fax_number": "573-682-9580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BDM ASSOCIATES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BDM ASSOCIATES LLC",
        "enumeration_date": "2006-07-25",
        "last_updated": "2011-06-09",
        "status": "A",
        "authorized_official_last_name": "REEDER",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DIRECTOR OF BILLING",
        "authorized_official_telephone_number": "573-449-6082"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "834765000",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Peak Performance Physical Therapy & Sports Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Centralia, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2011; 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.