Active NPI
Jared M Sadowitz, DPT
- Physical Therapist
- West Plains, MO
National Provider Identifier
1710309083
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2013022085
- Practice address
- 1100 Kentucly Ave
West Plains, MO 65775 - Phone
- (417) 257-5959
- Fax
- (417) 257-5814
- NPI assigned
- Jan 6, 2014
- Sex
- Male
- 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 | 2013022085 | MO | Primary |
Addresses
Primary practice location
1100 Kentucly Ave
West Plains, MO 65775
Mailing address
PO Box 1110
West Plains, MO 65775
Phone (417) 257-5959
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1388966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1389052800000",
"number": "1710309083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1110",
"city": "WEST PLAINS",
"state": "MO",
"postal_code": "65775",
"telephone_number": "417-257-5959",
"fax_number": "417-257-5814"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 KENTUCLY AVE",
"city": "WEST PLAINS",
"state": "MO",
"postal_code": "65775",
"telephone_number": "417-257-5959",
"fax_number": "417-257-5814"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SADOWITZ",
"first_name": "JARED",
"middle_name": "M",
"name_prefix": "Mr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-01-06",
"last_updated": "2014-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MO",
"license": "2013022085",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Plains, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.