Active NPI
Michael D Linn, PT
- Physical Therapist
- Springfield, MO
National Provider Identifier
1740350750
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 110376
- Practice address
- 3045 S National Ave
Ste 200
Springfield, MO 65804-4247 - Phone
- (417) 881-2900
- Fax
- (417) 881-2918
- NPI assigned
- Nov 8, 2006
- 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 | 110376 | MO | Primary |
Addresses
Primary practice location
3045 S National Ave
Ste 200
Springfield, MO 65804-4247
Mailing address
2670 S Patterson Ave
Springfield, MO 65804-3912
Phone (417) 881-2900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1630 E Bradford Pkwy
Suite E
Springfield, MO 65804-6781
Phone (417) 881-2900
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clay Therapy LLC | Physical Therapist | Current | Accepting new patients |
Locations
1630 E Bradford Pkwy
Ste E
Springfield, MO 65804
Phone (417) 881-2900
3045 S National Ave
Ste 200
Springfield, MO 65804
Phone (417) 881-2900
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1740350750",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2670 S PATTERSON AVE",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658043912",
"telephone_number": "417-881-2900",
"fax_number": "417-881-2918"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3045 S NATIONAL AVE",
"address_2": "STE 200",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658044247",
"telephone_number": "417-881-2900",
"fax_number": "417-881-2918"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LINN",
"first_name": "MICHAEL",
"middle_name": "D",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-08",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MO",
"license": "110376",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.