Organization Active NPI

Therapypros, LLC

  • Physical Therapy Clinic/Center
  • Saint James, MO
National Provider Identifier
1710324850
Registry record updated Nov 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
200174333 Issued in MO
Legal business name
THERAPYPROS, LLC
Practice address
117 E Springfield St
Saint James, MO 65559-1646
Phone
(573) 265-1105
NPI assigned
May 30, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2014

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

Authorized official

Name
Diana J Brandt, PTNPI 1346490638
Title
Owner/Administrator
Phone
(573) 265-1105

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 200174333 MO Primary

Addresses

Primary practice location

117 E Springfield St
Saint James, MO 65559-1646

Mailing address

PO Box 778
Saint James, MO 65559-0778
Phone (573) 265-1105

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131120001568 MO Part B Supplier - Physical/Occupational Therapy Group in Private Practice 1052547197 Receives reassigned benefits from 1 practitioner
Practice locations: Saint James, MO

National Provider Directory

National Provider Directory

Locations

117 E Springfield St
Saint James, MO 65559
Phone (573) 265-1105

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1369872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417305600000",
    "number": "1710324850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 778",
            "city": "SAINT JAMES",
            "state": "MO",
            "postal_code": "655590778",
            "telephone_number": "573-265-1105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 E SPRINGFIELD ST",
            "city": "SAINT JAMES",
            "state": "MO",
            "postal_code": "655591646",
            "telephone_number": "573-265-1105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPYPROS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-30",
        "last_updated": "2014-11-30",
        "status": "A",
        "authorized_official_last_name": "BRANDT",
        "authorized_official_first_name": "DIANA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "573-265-1105",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MO",
            "license": "200174333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint James, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2014; 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.