Individual provider Active NPI

Paula K Copeland

  • Physical Therapist
  • Owensville, MO
National Provider Identifier
1710137005
Registry record updated Jun 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
108043 Issued in MO
Practice address
1920 Bem Church Road
Owensville, MO 65066
Phone
(573) 690-7005
NPI assigned
Sep 24, 2008
Last updated
Jun 12, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 108043 MO Primary

Addresses

Primary practice location

1920 Bem Church Road
Owensville, MO 65066

Mailing address

PO Box 235
Owensville, MO 65066-0235
Phone (573) 437-8011

Other practice location 1

1912 Nursing Home Road
Owensville, MO 65066-1912
Phone (573) 437-8011

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210325001170 MO Practitioner - Physical Therapist in Private Practice 1254486509 Reassigns benefits to 2 organizations

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
Athletico LTDGroup PAC ID 4789602681, 2,187 clinicians

Practice addresses (Care Compare)

603 S Bishop Ave
Suite B
Rolla, MO 65401-4320
Phone (573) 202-6537

Merit-based Incentive Payment System (MIPS)

Final score
86.32 of 100Reported as group
Quality
84.44
Promoting interoperability
99
Improvement activities
40
Cost
70.78

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
108043MOMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Athletico LTD Physical Therapist CurrentSince Apr 10, 2023 Accepting new patients
Athletico LTD Physical Therapist Current Accepting new patients
The Therapysource LLC Current Accepting new patients
Central Missouri Physical Therapy LLC Physical Therapist CurrentSince Feb 1, 2021 Accepting new patients
Athletico LTD Physical Therapist CurrentSince Apr 10, 2023 Accepting new patients

Locations

2122 York Rd
Ste 300
Oak Brook, IL 60523
Phone (630) 575-6250

3301 Berrywood Dr
Ste 204
Columbia, MO 65201
Phone (573) 374-7579

229 S Stewart Rd
Ste E3
Liberty, MO 64068
Phone (816) 656-3695

916B E Main St
Linn, MO 65051
Phone (573) 897-3400

1212 W Highway 28
Owensville, MO 65066
Phone (573) 437-8011

1912 Nursing Home Rd
Owensville, MO 65066
Phone (573) 437-8011

2007 W Foxwood Dr
Ste D
Raymore, MO 64083
Phone (816) 265-8116

603 S Bishop Ave
Ste B
Rolla, MO 65401
Phone (573) 202-6537

1832 Wentzville Pkwy
Wentzville, MO 63385
Phone (636) 327-7110

Interoperability endpoints

  • Direct secure messaging: paula.copeland.p2@direct.athleticoltd.nextgenshare.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1222214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591920000000",
    "number": "1710137005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 235",
            "city": "OWENSVILLE",
            "state": "MO",
            "postal_code": "650660235",
            "telephone_number": "573-437-8011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 BEM CHURCH ROAD",
            "city": "OWENSVILLE",
            "state": "MO",
            "postal_code": "65066",
            "telephone_number": "573-690-7005"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1912 Nursing Home Road",
            "address_purpose": "LOCATION",
            "city": "Owensville",
            "state": "MO",
            "postal_code": "650661912",
            "country_code": "US",
            "telephone_number": "573-437-8011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COPELAND",
        "first_name": "PAULA",
        "middle_name": "K",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-24",
        "last_updated": "2020-06-12",
        "certification_date": "2020-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "108043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owensville, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2020; 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.

Verify at the official NPI Registry.