Active NPI
Kathryn Mari Bartley, P.T.
- Physical Therapist
- Joplin, MO
National Provider Identifier
1740408558
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 00935
- Practice address
- 2727 MC Clelland Blvd
Joplin, MO 64804-1626 - Phone
- (417) 781-2727
- Fax
- (417) 625-2097
- NPI assigned
- Apr 24, 2007
- Sex
- Female
- 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 | 00935 | MO | Primary |
Addresses
Primary practice location
2727 MC Clelland Blvd
Joplin, MO 64804-1626
Mailing address
PO Box 61
Anderson, MO 64831-0061
Phone (417) 781-2727
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260527002797 | MO | Practitioner - Physical Therapist in Private Practice | 0648740068 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2012
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1335 NW Broad St
Murfreesboro, TN 37129-4428
PO Box
Suite 61
Anderson, MO 64831
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00935 | MO | MD | Speech-Language Pathologist |
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": "1177372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1740408558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 61",
"city": "ANDERSON",
"state": "MO",
"postal_code": "648310061",
"telephone_number": "417-781-2727",
"fax_number": "417-625-2097"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2727 MC CLELLAND BLVD",
"city": "JOPLIN",
"state": "MO",
"postal_code": "648041626",
"telephone_number": "417-781-2727",
"fax_number": "417-625-2097"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARTLEY",
"first_name": "KATHRYN",
"middle_name": "MARI",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MO",
"license": "00935",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Joplin, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.