Organization Active NPI

Industrial Physical Therapy, Inc.

  • Physical Therapy Clinic/Center
  • Joplin, MO
National Provider Identifier
1700978087
Registry record updated Mar 31, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
INDUSTRIAL PHYSICAL THERAPY, INC.
Practice address
4830 East 32ND Street
Suite 3
Joplin, MO 64804
Phone
(417) 781-0082
Fax
(417) 781-2893
NPI assigned
Sep 28, 2006
Last updated
Mar 31, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2010

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

Authorized official

Name
Neil F Yust, RPTNPI 1558444539
Title
Owner/President
Phone
(417) 781-0082

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X NU Primary

Addresses

Primary practice location

4830 East 32ND Street
Suite 3
Joplin, MO 64804

Mailing address

320 East Austin Blvd
Nevada, MO 64772
Phone (417) 667-6673

Other identifiers 1

IdentifierTypeStateIssuer
504587908MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20041101000032 MO Part B Supplier - Clinic/Group Practice 9133181357 Receives reassigned benefits from 3 practitioners
Practice locations: Nevada, MO; Joplin, MO
O20090507000082 MO Part B Supplier - Clinic/Group Practice 9133181357 Receives reassigned benefits from 2 practitioners
Practice locations: Nevada, MO

National Provider Directory

National Provider Directory

Locations

1911 Buena Vista Ave
Carthage, MO 64836
Phone (417) 237-0983

4830 E 32nd St
Ste 3
Joplin, MO 64804
Phone (417) 624-0200

320 E Austin Blvd
Nevada, MO 64772
Phone (417) 667-6673

1010 S Madison St
Ste F
Webb City, MO 64870
Phone (417) 624-0200

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269993600000",
    "number": "1700978087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 EAST AUSTIN BLVD",
            "city": "NEVADA",
            "state": "MO",
            "postal_code": "64772",
            "telephone_number": "417-667-6673",
            "fax_number": "417-667-7733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4830 EAST 32ND STREET",
            "address_2": "SUITE 3",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "64804",
            "telephone_number": "417-781-0082",
            "fax_number": "417-781-2893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDUSTRIAL PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2010-03-31",
        "status": "A",
        "authorized_official_last_name": "YUST",
        "authorized_official_first_name": "NEIL",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "417-781-0082",
        "authorized_official_credential": "RPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "504587908",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Joplin, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2010; 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.