Douthard Physical Therapy LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

2015002291 Issued in MO

Legal business name

DOUTHARD PHYSICAL THERAPY LLC

Practice address

714 State Highway 248 Ste 503
Branson, MO 65616-3761

Phone

(417) 230-1662

NPI assigned

Jul 2, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Tracy Lynn Douthard, DMIN, PTNPI 1538567938

Title

Physical Therapist

Phone

(417) 230-1662

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Tracy Lynn Douthard, PT, DMIN

  • Physical Therapist
  • Branson, MO
  • NPI 1538567938
  Authorized official Same address or phone
• Jacob Dewayne Lewallen, DC

  • Chiropractor
  • Branson, MO
  • NPI 1710500061
  NPD

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

{
    "created_epoch": "1530489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530489600000",
    "number": "1730675885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 HIGHPOINTS RDG",
            "city": "BRANSON",
            "state": "MO",
            "postal_code": "656167814",
            "telephone_number": "417-230-1662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 STATE HIGHWAY 248 STE 503",
            "city": "BRANSON",
            "state": "MO",
            "postal_code": "656163761",
            "telephone_number": "417-230-1662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUTHARD PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-02",
        "last_updated": "2018-07-02",
        "status": "A",
        "authorized_official_last_name": "DOUTHARD",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "417-230-1662",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMIN, PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MO",
            "license": "2015002291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian D Dieterle, M.D.
• Keana R Dizon-Tuck, RN
• Dorlon Optical LLC (Pearle Vision)
• Shanna Dorlon
• Doulos Ministries, Inc. (Shelterwood)
• Tracy Lynn Douthard, PT, DMIN
• Dr Christian R D Willard,DDS,PC
• Dr Lukes Family Medicine LLC
• Dr Rebecca Pearson LLC
• Dr. Dale & Co. Inc

• Physical Therapy Clinic/Center in Branson, MO
• Providers in Branson, MO by specialty
• Physical Therapy Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2018; 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.